LAUREN OLIVIA VANGORP

BOISE, ID
NPI1811512650
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-6706)
Enumeration Date2020-06-08
Last Update Date2020-06-08
Business Address
LAUREN OLIVIA VANGORP PT, DPT
5418 N EAGLE RD STE 170
BOISE, ID 83713-0999
Phone number: 208-501-8264
Mailing Address
LAUREN OLIVIA VANGORP PT, DPT
8048 WATERCRESS AVE
NAMPA, ID 83687-8289
Phone number: 219-713-2486
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