Jonathan Dac-Moang Liem, DPT

NPI #1235903279 in Blackfoot, Idaho

Provider Information

NPI Number
1235903279
Entity Type
Individual
Name
Jonathan Dac-Moang Liem, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Nov 9, 2023
Last Updated
Nov 9, 2023

Practice Location

Address
1441 PARKWAY DR STE 1
State
Idaho
ZIP Code
83221-1667
Phone
(208) 785-3446

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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