Individual
SONJA SEPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(801) 358-6862
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4659
IL
Other
Enumeration date
04/07/2018
Last updated
04/07/2018
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