NOAH D MAXWELL

BOISE, ID
NPI1770651309
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-2140)
Enumeration Date2006-12-01
Last Update Date2010-04-06
Business Address
-- NOAH D MAXWELL PT
5521 W STATE ST
BOISE, ID 83703-3337
Phone number: 208-853-6220
Mailing Address
-- NOAH D MAXWELL PT
5521 W STATE ST
BOISE, ID 83703-3337
Phone number: 208-853-6220
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