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Individual

NATHANIEL JAY DELEGARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1610 E SCHNEIDMILLER AVE, POST FALLS, ID 83854-7065
(208) 773-8111
Mailing address
1610 E SCHNEIDMILLER AVE, POST FALLS, ID 83854-7065
(208) 773-8111

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-8253
ID

Other

Enumeration date
06/15/2022
Last updated
06/15/2022
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