Individual
SABLE C HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3195 E 8TH N, MOUNTAIN HOME, ID 83647-5000
(208) 587-0047
Mailing address
2374 NE TRINITY AVE, MOUNTAIN HOME, ID 83647-1664
(217) 766-7936
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7287
ID
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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