KATHRYN WIERENGA

BOISE, ID
NPI1942693726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT367)
Enumeration Date2015-03-18
Last Update Date2015-03-18
Business Address
-- KATHRYN WIERENGA pt
2662 N COLUMBINE AVE
BOISE, ID 83713-5257
Phone number: 541-337-9696
Mailing Address
-- KATHRYN WIERENGA pt
2662 N COLUMBINE AVE
BOISE, ID 83713-5257
Phone number: 541-337-9696
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