Lake Bound Physical Therapy Pllc
NPI #1104511252 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1104511252
- Entity Type
- Organization
- Organization Name
- Lake Bound Physical Therapy Pllc
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Apr 5, 2023
- Last Updated
- Apr 5, 2023
Practice Location
- Address
- 3654 W CALZADO DR
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83815-5091
- Phone
- (509) 553-9061
Authorized Official
- Name
- AMELIE GOLDEN, DPT
- Title
- OWNER
- Phone
- (509) 553-9061
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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