Individual
DR. GREG CARL NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3707 N 4100 E, HANSEN, ID 83334-5059
(208) 420-6256
Mailing address
3707 N 4100 E, HANSEN, ID 83334-5059
(208) 420-6256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3496
ID
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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