Organization
LAKE BOUND PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIE GOLDEN DPT (OWNER)
(509) 553-9061
Entity
Organization
Contact information
Practice address
3654 W CALZADO DR, COEUR D ALENE, ID 83815-5091
(509) 553-9061
Mailing address
3654 W CALZADO DR, COEUR D ALENE, ID 83815-5091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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