Individual
MR. CHAD GORDON BAINBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA PHYSICAL THERAPI
Contact information
Practice address
700 N ROBINS, IDAHO ELKS REHABILITATION SERVICES, BOISE, ID 83712
(208) 489-4040
Mailing address
4560 SE INTERNATIONAL WAY, CONSONUS HEALTHCARE SERVICES, MILWAUKIE, OR 97222
(971) 206-5129
(971) 206-5209
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA243
ID
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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