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1841804200
MATTHEW CARPENTER
BOISE, ID
NPI
1841804200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 7113)
Enumeration Date
2020-09-03
Last Update Date
2020-09-03
Business Address
MATTHEW CARPENTER PT
960 S BROADWAY AVE STE 200
BOISE, ID 83706-3667
Phone number: 208-433-9211
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Mailing Address
MATTHEW CARPENTER PT
16083 SW UPPER BOONES FERRY RD STE 300
TIGARD, OR 97224-7736
Phone number: 503-443-6156
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