KENDRICK JUSTIN KING GUNNING

MERIDIAN, ID
NPI1669034823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-4208)
Enumeration Date2019-07-08
Last Update Date2019-07-08
Business Address
KENDRICK JUSTIN KING GUNNING PTA
3330 E LOUISE DR STE 400
MERIDIAN, ID 83642-5123
Phone number: 208-706-2333
Mailing Address
KENDRICK JUSTIN KING GUNNING PTA
3330 E LOUISE DR STE 400
MERIDIAN, ID 83642-5123
Phone number: