Individual
PALAK MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2688 E RED CEDAR LN, APT # H - 204, BOISE, ID 83716-9681
(208) 761-8188
Mailing address
2688 E RED CEDAR LN, APT # H - 204, BOISE, ID 83716-9681
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2590
ID
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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