Individual
SOPHIA M GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
265 E CHUBBUCK RD STE A, CHUBBUCK, ID 83202-5055
(208) 417-0011
(888) 437-2431
Mailing address
265 E CHUBBUCK RD STE A, CHUBBUCK, ID 83202-5055
(208) 417-0011
(888) 437-2431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6682
ID
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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