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1154162113
WILD ROSE PHYSIO PLLC
MOSCOW, ID
NPI
1154162113
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Entity Type
Organization
Authorized Contact
LAUREN JENTGES
Owner
206-948-7475
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2024-06-04
Last Update Date
2024-06-04
Business Address
WILD ROSE PHYSIO PLLC
325 W PALOUSE RIVER DR
MOSCOW, ID 83843-8956
Phone number: 208-689-6044
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Mailing Address
WILD ROSE PHYSIO PLLC
PO BOX 51
TROY, ID 83871-0051
Phone number: 206-948-7475
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