Robert Gray Vining III, MPT

NPI #1518175686 in Kuna, Idaho

Provider Information

NPI Number
1518175686
Entity Type
Individual
Name
Robert Gray Vining III, MPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist - Orthopedic
Credential
MPT
Enumeration Date
May 20, 2007
Last Updated
Feb 25, 2011

Practice Location

Address
943 N LINDER RD
Address 2
SUITE 104
City
Kuna
State
Idaho
ZIP Code
83634-3394
Phone
(208) 922-1719

Specialties & Taxonomy Codes

Specialty
Physical Therapist - OrthopedicOrthopedic

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