JUSTIN THOMAS KANE

HAYDEN, ID
NPI1114957073
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-700)
Enumeration Date2006-07-04
Last Update Date2009-03-06
Business Address
JUSTIN THOMAS KANE PT
1172 W HAYDEN AVE
HAYDEN, ID 83835-8700
Phone number: 208-762-3332
Mailing Address
JUSTIN THOMAS KANE PT
1917 N LAKEWOOD DR
COEUR D ALENE, ID 83814-2634
Phone number: 208-664-8194
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