MARK LEE MOSS

BOISE, ID
NPI1891050068
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT 3018)
Enumeration Date2012-07-12
Last Update Date2014-10-10
Business Address
-- MARK LEE MOSS P.T.
390 E PARKCENTER BLVD SUITE 130
BOISE, ID 83706-6662
Phone number: 208-433-9211
Mailing Address
-- MARK LEE MOSS P.T.
16083 SW UPPER BOONES FERRY RD SUITE 300
TIGARD, OR 97224-7736
Phone number: 800-219-8835
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