NOHE MATA

NAMPA, ID
NPI1083141394
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-5158)
Enumeration Date2017-05-17
Last Update Date2017-05-17
Business Address
NOHE MATA PTA
4301 GARRITY BLVD STE 103
NAMPA, ID 83687-9222
Phone number: 208-463-0700
Mailing Address
NOHE MATA PTA
1010 HOLLY ST
NAMPA, ID 83686-5825
Phone number: 208-570-0455
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