KATHRYN LYNETTE WALLENTINE

BOISE, ID
NPI1407191471
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-2882)
Enumeration Date2012-12-03
Last Update Date2012-12-03
Business Address
Mrs. KATHRYN LYNETTE WALLENTINE PTA
860 W SHERWOOD ST APT 150
BOISE, ID 83706-2883
Phone number: 208-585-4133
Mailing Address
Mrs. KATHRYN LYNETTE WALLENTINE PTA
860 W SHERWOOD ST APT 150
BOISE, ID 83706-2883
Phone number: 208-585-4133
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