BENJAMIN DOUGLASS

CALDWELL, ID
NPI1508277120
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-3563)
Enumeration Date2014-05-16
Last Update Date2014-05-16
Business Address
-- BENJAMIN DOUGLASS DPT
120 E PINE ST
CALDWELL, ID 83605-4836
Phone number: 208-454-5142
Mailing Address
-- BENJAMIN DOUGLASS DPT
1560 S CAROL ST
MERIDIAN, ID 83646-1839
Phone number: 208-288-1155
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