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Individual

ALIA MARIE CAZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
390 E PARKCENTER BLVD, SUITE 130, BOISE, ID 83706-6662
(208) 443-9211
(208) 433-9241
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT - 3142
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0330329
WA L&I
ID
05
1144569336
OR
01
P01194492
RR MEDICARE
ID
Enumeration date
02/07/2013
Last updated
03/06/2015
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