SUSAN KATHLEEN BIRNBAUM

BOISE, ID
NPI1245590686
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  1533)
Enumeration Date2012-05-19
Last Update Date2012-05-19
Business Address
Ms. SUSAN KATHLEEN BIRNBAUM MPT
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number: 208-489-4640
Mailing Address
Ms. SUSAN KATHLEEN BIRNBAUM MPT
4378 W QUAIL POINT CT
BOISE, ID 83703-3844
Phone number: 208-424-0324