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Organization
WINWARD PHYSICAL THERAPY
Active
Organization
WINWARD PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS WINWARD MPT (PRESIDENT)
(208) 852-0116
Entity
Organization
Contact information
Practice address
10 SOUTH 100 WEST, STE A WINWARD PHYSICAL THERAPY, PRESTON, ID 83263-1244
(208) 852-0116
(208) 852-0116
Mailing address
10 SOUTH 100 WEST, STE A WINWARD PHYSICAL THERAPY, PRESTON, ID 83263-1244
(208) 852-0116
(208) 852-0116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT-1083
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805778400
—
ID
Enumeration date
10/03/2006
Last updated
06/19/2008
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