DUSTIN GOLD

BOISE, ID
NPI1568887578
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-2425)
Enumeration Date2014-02-27
Last Update Date2014-02-27
Business Address
MR. DUSTIN GOLD
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number: 208-489-4444
Mailing Address
MR. DUSTIN GOLD
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number: 208-489-4444