Individual
CATHERINE ELIZABETH DUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1520 W STATE ST, STE. 210, BOISE, ID 83702-4085
(208) 336-8433
(208) 336-8441
Mailing address
16083 SW UPPER BOONES FERRY RD, STRE. 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3246
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0330324
WA L&I
ID
05
—
1114363199
—
ID
01
—
P01740321
RR MEDICARE
ID
Enumeration date
05/16/2013
Last updated
03/16/2017
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