ANDREA J HENDERSON

BOISE, ID
NPI1356756290
Former NameANDREA J BASSE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-3535)
Enumeration Date2014-06-30
Last Update Date2016-12-27
Business Address
-- ANDREA J HENDERSON PT
5255 W OVERLAND RD
BOISE, ID 83705-2637
Phone number: 208-338-9486
Mailing Address
-- ANDREA J HENDERSON PT
5255 W OVERLAND RD
BOISE, ID 83705-2637
Phone number: 208-338-9486