BENJAMIN THOMAS MOORE

CHUBBUCK, ID
NPI1447009220
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-9025)
Enumeration Date2024-05-15
Last Update Date2024-05-29
Business Address
BENJAMIN THOMAS MOORE DPT, PT
445 E CHUBBUCK RD
CHUBBUCK, ID 83202-1815
Phone number: 208-244-7794
Mailing Address
BENJAMIN THOMAS MOORE DPT, PT
1411 FALLS AVE E STE 401
TWIN FALLS, ID 83301-3455
Phone number: 208-244-7794
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