LISA DAWN UPSON

BOISE, ID
NPI1689835290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA 433)
Enumeration Date2008-06-17
Last Update Date2008-06-17
Business Address
-- LISA DAWN UPSON PTA
1001 S HILTON ST
BOISE, ID 83705-1925
Phone number: 208-392-7926
Mailing Address
-- LISA DAWN UPSON PTA
607 S HAWTHORNE AVE
EMMETT, ID 83617-3633
Phone number: 208-392-7926
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