ALEX CHARLES GODDERIDGE

BOISE, ID
NPI1942951736
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-7679)
Enumeration Date2022-01-12
Last Update Date2023-12-01
Business Address
ALEX CHARLES GODDERIDGE DPT
12072 W MCMILLAN RD
BOISE, ID 83713-2462
Phone number: 208-939-0533
Mailing Address
ALEX CHARLES GODDERIDGE DPT
119 S. VALLEY DR. STE A #178
NAMPA, ID 83686
Phone number: 208-800-1619
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