JENNIFER LYNNE FORD

LEWISTON, ID
NPI1679731020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-2149)
Enumeration Date2008-05-31
Last Update Date2008-05-31
Business Address
-- JENNIFER LYNNE FORD PTA
557 PARK ST APT 6
LEWISTON, ID 83501-2581
Phone number: 208-305-4636
Mailing Address
-- JENNIFER LYNNE FORD PTA
557 PARK ST APT 6
LEWISTON, ID 83501-2581
Phone number: 208-305-4636
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