SHANNA MARIE HERMAN

BOISE, ID
NPI1902279136
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-4287)
Enumeration Date2015-11-10
Last Update Date2015-11-10
Business Address
-- SHANNA MARIE HERMAN Physical Therapist
405 W MYRTLE ST
BOISE, ID 83702-7658
Phone number: 208-385-3420
Mailing Address
-- SHANNA MARIE HERMAN Physical Therapist
405 W MYRTLE ST
BOISE, ID 83702-7658
Phone number: 208-385-3420
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