Individual
MR. MATTHEW ALLEN JANZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1001 S HILTON ST, BOISE, ID 83705-1925
(446) 420-8345
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(208) 249-4288
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
ID
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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