Advance Physical Therapy PA

NPI #1871743575 in Sandpoint, Idaho

Provider Information

NPI Number: 1871743575
Entity Type: Organization
Organization Name: Advance Physical Therapy PA
Primary Specialty: Physical Therapist
Enumeration Date: Sep 30, 2008
Last Updated: Sep 30, 2008

Practice Location

Address: 1905 W PINE STREET
City: Sandpoint
State: Idaho
ZIP Code: 83864
Phone: (208) 263-7998

Authorized Official

Name: JULIE ANN PRICE, MPT
Title: PRESIDENT
Phone: (208) 263-7998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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