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1356756290
ANDREA J HENDERSON
BOISE, ID
NPI
1356756290
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Former Name
ANDREA J BASSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-3535)
Enumeration Date
2014-06-30
Last Update Date
2016-12-27
Business Address
-- ANDREA J HENDERSON PT
5255 W OVERLAND RD
BOISE, ID 83705-2637
Phone number: 208-338-9486
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Mailing Address
-- ANDREA J HENDERSON PT
5255 W OVERLAND RD
BOISE, ID 83705-2637
Phone number: 208-338-9486
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