Individual
TERI ANN VENERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
8382 N WAYNE DR, HAYDEN, ID 83835-6028
(208) 758-0484
(208) 485-4781
Mailing address
PO BOX 3482, POST FALLS, ID 83877-3482
(208) 209-6170
(208) 209-6169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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