BRENDA KAY JERALD

COEUR D ALENE, ID
NPI1679853501
Former NameBRENDA KAY MITCHELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-2889)
Enumeration Date2011-08-23
Last Update Date2022-07-21
Business Address
BRENDA KAY JERALD DPT
1875 N LAKEWOOD DR STE 101
COEUR D ALENE, ID 83814-4928
Phone number: 208-667-6264
Mailing Address
BRENDA KAY JERALD DPT
1875 N LAKEWOOD DR STE 101
COEUR D ALENE, ID 83814-4928
Phone number: 208-667-6264
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