Daniel Vincent, PTA

NPI #1760173405 in Caldwell, Idaho

Provider Information

NPI Number
1760173405
Entity Type
Individual
Name
Daniel Vincent, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Medicine & Rehabilitation
Credential
PTA
Enumeration Date
May 15, 2023
Last Updated
May 15, 2023

Practice Location

Address
4623 ENTERPRISE WAY
State
Idaho
ZIP Code
83605-6764
Phone
(208) 455-4231

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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