JAMES RICHARD TEATER

NAMPA, ID
NPI1063092393
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  Pt-4408)
Enumeration Date2021-04-12
Last Update Date2021-04-12
Business Address
Mr. JAMES RICHARD TEATER DPT
4300 E FLAMINGO AVE
NAMPA, ID 83687-3138
Phone number: 208-205-5059
Mailing Address
Mr. JAMES RICHARD TEATER DPT
952 N CAMELOT DR
BOISE, ID 83704-8603
Phone number: 503-348-5132
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