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1538767231
TEISHA BANDA
NAMPA, ID
NPI
1538767231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 7030)
Enumeration Date
2020-10-14
Last Update Date
2020-10-14
Business Address
TEISHA BANDA PT
2635 CALDWELL BLVD STE B
NAMPA, ID 83651-6407
Phone number: 208-442-0577
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Mailing Address
TEISHA BANDA PT
16083 SW UPPER BOONES FERRY RD STE 300
TIGARD, OR 97224-7736
Phone number: 503-443-6156
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