JEFFREY BOWEN DEMOND

MERIDIAN, ID
NPI1134165590
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-1640)
Enumeration Date2006-06-22
Last Update Date2007-07-09
Business Address
Mr. JEFFREY BOWEN DEMOND MPT, CLT
2321 E GALA ST SUITE 1
MERIDIAN, ID 83642-4881
Phone number: 208-888-4321
Mailing Address
Mr. JEFFREY BOWEN DEMOND MPT, CLT
2654 N GOLDENEYE WAY
MERIDIAN, ID 83642-7803
Phone number: 208-887-1388