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1952521411
LAKE CITY PHYSICAL THERAPY P A
HAYDEN, ID
NPI
1952521411
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Entity Type
Organization
Authorized Contact
SHEREE LYNN DIBIASE
Owner
208-667-1988
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID rpt629)
Enumeration Date
2007-04-26
Last Update Date
2024-08-01
Business Address
LAKE CITY PHYSICAL THERAPY P A
8238 N GOVERNMENT WAY
HAYDEN, ID 83835-5034
Phone number: 208-762-2100
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Mailing Address
LAKE CITY PHYSICAL THERAPY P A
2170 W IRONWOOD CENTER DR
COEUR D ALENE, ID 83814-2606
Phone number: 208-667-1988
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