JONATHAN BIRD

BOISE, ID
NPI1225243371
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT 2060)
Enumeration Date2007-05-11
Last Update Date2007-07-08
Business Address
-- JONATHAN BIRD P.T.
1130 ALLUMBAUGH ST
BOISE, ID 83704-8700
Phone number: 208-854-8500
Mailing Address
-- JONATHAN BIRD P.T.
898 N STRONGHOLD AVE
MERIDIAN, ID 83642-4693
Phone number: 208-895-6697
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