David Thibodeau

NPI #1811720550 in Driggs, Idaho

Provider Information

NPI Number: 1811720550
Entity Type: Individual
Name: David Thibodeau
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 20, 2024
Last Updated: Aug 20, 2024

Practice Location

Address: 285 E LITTLE AVE
City: Driggs
State: Idaho
ZIP Code: 83422-5137
Phone: (208) 354-1999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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