KENT WALLINGA

BOISE, ID
NPI1518369610
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT3735)
Enumeration Date2014-09-19
Last Update Date2014-09-19
Business Address
-- KENT WALLINGA DPT
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number: 208-381-2222
Mailing Address
-- KENT WALLINGA DPT
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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