DIANE GOODMAN

MERIDIAN, ID
NPI1124458435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-1736)
Enumeration Date2013-11-22
Last Update Date2013-11-22
Business Address
-- DIANE GOODMAN
520 S EAGLE RD STE 2106
MERIDIAN, ID 83642-6363
Phone number: 208-706-5775
Mailing Address
-- DIANE GOODMAN
3732 S DAISY WAY
BOISE, ID 83709-3762
Phone number:
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