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1023225737
CHAD GORDON BAINBRIDGE
BOISE, ID
NPI
1023225737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA243)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
Mr. CHAD GORDON BAINBRIDGE PTA Physical Therapi
700 N ROBINS IDAHO ELKS REHABILITATION SERVICES
BOISE, ID 83712
Phone number: 208-489-4040
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Mailing Address
Mr. CHAD GORDON BAINBRIDGE PTA Physical Therapi
4560 SE INTERNATIONAL WAY CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5129
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