Glenda Dorman Thie, PT

NPI #1134456809 in Moscow, Idaho

Provider Information

NPI Number: 1134456809
Entity Type: Individual
Name: Glenda Dorman Thie, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 17, 2009
Last Updated: Nov 17, 2009

Practice Location

Address: 872 TROY HIGHWAY
Address 2: SUITE 180
City: Moscow
State: Idaho
ZIP Code: 83843-2743
Phone: (208) 882-1426

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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