MICHELLE RENEE ANDERSON

MOSCOW, ID
NPI1700046984
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-2148)
Enumeration Date2008-06-11
Last Update Date2008-06-11
Business Address
-- MICHELLE RENEE ANDERSON
420 ROWE ST
MOSCOW, ID 83843-9319
Phone number: 208-882-4576
Mailing Address
-- MICHELLE RENEE ANDERSON
420 ROWE ST
MOSCOW, ID 83843-9319
Phone number: 208-882-4576
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