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1720199631
DIANA SMITH
COEUR D ALENE, ID
NPI
1720199631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT1584)
Enumeration Date
2006-08-31
Last Update Date
2020-04-08
Business Address
DIANA SMITH MPT
1875 N LAKEWOOD DR STE 101
COEUR D ALENE, ID 83814-4928
Phone number: 208-667-6264
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Mailing Address
DIANA SMITH MPT
1450 NORTHWEST BLVD STE 106
COEUR D ALENE, ID 83814-5605
Phone number: 208-772-6609
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