MATTHEW ALLEN JANZEN

BOISE, ID
NPI1043883408
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2021-07-22
Last Update Date2021-07-22
Business Address
Mr. MATTHEW ALLEN JANZEN PTA
1001 S HILTON ST
BOISE, ID 83705-1925
Phone number: 446-420-8345
Mailing Address
Mr. MATTHEW ALLEN JANZEN PTA
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 208-249-4288