BRIAN L WHITE

BOISE, ID
NPI1477657468
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT458)
Enumeration Date2006-09-11
Last Update Date2007-07-08
Business Address
-- BRIAN L WHITE PT
230 WEST MALLARD DR A
BOISE, ID 83706
Phone number: 208-422-9826
Mailing Address
-- BRIAN L WHITE PT
PO BOX 711185
SALT LAKE CITY, UT 84171
Phone number: 801-942-3311
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