SCOTT FORWOOD

CALDWELL, ID
NPI1346400728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-074)
Enumeration Date2008-06-10
Last Update Date2008-06-10
Business Address
-- SCOTT FORWOOD PTA
2814 S INDIANA AVE
CALDWELL, ID 83605-5925
Phone number: 208-454-0380
Mailing Address
-- SCOTT FORWOOD PTA
2814 S INDIANA AVE
CALDWELL, ID 83605-5925
Phone number: 208-454-0380