MR. Brian Richard Trudeau, P.T.

NPI #1235207937 in Caldwell, Idaho

Provider Information

NPI Number: 1235207937
Entity Type: Individual
Name: MR. Brian Richard Trudeau, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Dec 1, 2006
Last Updated: Dec 5, 2007

Practice Location

Address: 211 E LOGAN ST
Address 2: SUITE 101
City: Caldwell
State: Idaho
ZIP Code: 83605-4882
Phone: (208) 454-9839

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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