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1780323121
COLLIN GIDDINGS
BOISE, ID
NPI
1780323121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-8068)
Enumeration Date
2022-06-02
Last Update Date
2024-08-13
Business Address
COLLIN GIDDINGS DPT
600 N ROBBINS RD
BOISE, ID 83702-4539
Phone number: 208-385-3000
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Mailing Address
COLLIN GIDDINGS DPT
1664 N TRELLIS PL
EAGLE, ID 83616-6610
Phone number: 707-479-4041
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