ZACHARY BRADDOCK

BOISE, ID
NPI1801249545
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-4501)
Enumeration Date2016-07-18
Last Update Date2016-07-18
Business Address
-- ZACHARY BRADDOCK PT, DPT
1109 W MYRTLE ST SUITE 200
BOISE, ID 83702-6970
Phone number: 208-489-4331
Mailing Address
-- ZACHARY BRADDOCK PT, DPT
6578 N SPURWING WAY
MERIDIAN, ID 83646-6454
Phone number:
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