Individual
MONIQUE MARIE MCHENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
331 E PARK ST, WEISER, ID 83672-2053
(208) 549-0206
Mailing address
1537 COVE RD, WEISER, ID 83672-5827
(208) 549-0408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1858
ID
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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