MICHELLE LOUISE BOISVERT

MERIDIAN, ID
NPI1275745291
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-921)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
Mrs. MICHELLE LOUISE BOISVERT PT
6141 W OVERLAND RD
MERIDIAN, ID 83642-6402
Phone number: 208-884-1322
Mailing Address
Mrs. MICHELLE LOUISE BOISVERT PT
6141 W OVERLAND RD
MERIDIAN, ID 83642-6402
Phone number: 208-884-1322