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1962518548
TREVOR JOSEPH ECCLES
BOISE, ID
NPI
1962518548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT1990)
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
-- TREVOR JOSEPH ECCLES Physical Therapist
415 E PARKCENTER BLVD SUITE 114 TAI - BOISE PHYSICAL THERAPY - PARKCENTER
BOISE, ID 83706-6505
Phone number: 208-433-9211
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Mailing Address
-- TREVOR JOSEPH ECCLES Physical Therapist
11481 SW HALL BLVD STE 201 THERAPEUTIC ASSOCIATES INC
PORTLAND, OR 97223-8403
Phone number: 800-219-8835
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