Individual
RICK CHARLES LOVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10390 W SAWTAIL ST, BOISE, ID 83714-9508
(208) 403-1057
Mailing address
10390 W SAWTAIL ST, BOISE, ID 83714-9508
(208) 403-1057
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1461
ID
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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