BRETT J HOMSTAD

HOMEDALE, ID
NPI1083902878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-2868)
Enumeration Date2011-07-14
Last Update Date2011-07-14
Business Address
-- BRETT J HOMSTAD DPT
134 E IDAHO AVE
HOMEDALE, ID 83628-5003
Phone number: 208-337-3254
Mailing Address
-- BRETT J HOMSTAD DPT
2176 E FRANKLIN RD SUITE 100
MERIDIAN, ID 83642-9024
Phone number: 208-288-1155
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