MARY WHITENACK

BOISE, ID
NPI1144367814
Former NameMARY WATSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-1478)
Enumeration Date2007-01-31
Last Update Date2007-07-08
Business Address
-- MARY WHITENACK PT
890 N COLE RD SUITE A
BOISE, ID 83704-8638
Phone number: 208-323-8888
Mailing Address
-- MARY WHITENACK PT
11086 W BRIDGETOWER DR
BOISE, ID 83709-7709
Phone number: 208-322-4537
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