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1154087534
CODY ANDERSON
BOISE, ID
NPI
1154087534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-7586)
Enumeration Date
2021-11-10
Last Update Date
2021-11-10
Business Address
CODY ANDERSON DPT
3040 N FIVE MILE RD
BOISE, ID 83713-5234
Phone number: 208-939-0533
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Mailing Address
CODY ANDERSON DPT
12072 W MCMILLAN RD
BOISE, ID 83713-2462
Phone number: 208-939-0533
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