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Individual

BRENDA BOYKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
810 S. MAIN ST., MOSCOW, ID 83843
(208) 883-1522
Mailing address
1055 PRESBY RD, VIOLA, ID 83872-9767
(208) 882-3839

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT-1512
ID

Other

Enumeration date
01/16/2007
Last updated
07/08/2007
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