MIRANDA WILSON

MERIDIAN, ID
NPI1639746092
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: ID  7420)
Enumeration Date2021-06-04
Last Update Date2021-06-04
Business Address
MIRANDA WILSON DPT
2316 S EAGLE RD
MERIDIAN, ID 83642-2665
Phone number: 208-286-2707
Mailing Address
MIRANDA WILSON DPT
996 E CAYMAN DR
MERIDIAN, ID 83642-6661
Phone number:
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