JONATHAN NORMAN

BOISE, ID
NPI1205403391
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-7402)
Enumeration Date2021-06-07
Last Update Date2021-09-16
Business Address
JONATHAN NORMAN DPT
5850 N FIVE MILE RD
BOISE, ID 83713-5466
Phone number: 208-960-7274
Mailing Address
JONATHAN NORMAN DPT
5850 N FIVE MILE RD
BOISE, ID 83713-5466
Phone number: 082-960-7274