CHARLES SANDS

BOISE, ID
NPI1821034513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT538)
Enumeration Date2006-06-21
Last Update Date2007-07-09
Business Address
-- CHARLES SANDS PT
7550 W EMERALD ST
BOISE, ID 83704-9015
Phone number: 208-375-0666
Mailing Address
-- CHARLES SANDS PT
7550 W EMERALD ST
BOISE, ID 83704-9015
Phone number: 208-375-0666