Individual
MR. BRIAN CHRISTOPHER O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T., A.T.C
Contact information
Practice address
1618 S MILLENNIUM WAY, STE 210, MERIDIAN, ID 83642
(208) 884-4647
Mailing address
1673 W SHORELINE DR, STE 230, BOISE, ID 83702
(208) 343-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2408
ID
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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