GLENDA DORMAN THIE

MOSCOW, ID
NPI1134456809
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-624)
Enumeration Date2009-11-17
Last Update Date2009-11-17
Business Address
-- GLENDA DORMAN THIE PT
872 TROY HIGHWAY SUITE 180
MOSCOW, ID 83843-2743
Phone number: 208-882-1426
Mailing Address
-- GLENDA DORMAN THIE PT
220 N JEFFERSON ST
MOSCOW, ID 83843-2743
Phone number: 208-882-3588
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