ANDREA WISE

NAMPA, ID
NPI1275683831
Former NameANDREA WAHL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-2137)
Enumeration Date2007-01-12
Last Update Date2013-06-24
Business Address
-- ANDREA WISE DPT
1709 CALDWELL BLVD
NAMPA, ID 83651-1729
Phone number: 208-489-4480
Mailing Address
-- ANDREA WISE DPT
1709 CALDWELL BLVD
NAMPA, ID 83651-1729
Phone number: 208-489-4480
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