TREY BRAEDON LANE

NAMPA, ID
NPI1487319612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-7506)
Enumeration Date2021-11-02
Last Update Date2021-11-02
Business Address
Dr. TREY BRAEDON LANE DPT
130 S MIDLAND BLVD
NAMPA, ID 83686-2601
Phone number: 208-461-5057
Mailing Address
Dr. TREY BRAEDON LANE DPT
130 S MIDLAND BLVD
NAMPA, ID 83686-2601
Phone number: 208-461-5057
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