JESSE DALE NEWMAN

BOISE, ID
NPI1467914036
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-5990)
Enumeration Date2019-04-03
Last Update Date2023-11-27
Business Address
JESSE DALE NEWMAN PTA
5909 W STATE ST
BOISE, ID 83703-3039
Phone number: 208-343-7700
Mailing Address
JESSE DALE NEWMAN PTA
5909 W STATE ST
BOISE, ID 83703-3039
Phone number: 208-343-7700
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