Organization
EOPT BOARDMAN PLLC
Active
Other names
Boardman PT
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA CARNINE PT (OWNER)
(406) 531-5918
Entity
Organization
Contact information
Practice address
101 SW KINKADE RD, BOARDMAN, OR 97818-9001
(541) 481-2533
(541) 314-4448
Mailing address
PO BOX 540640, NORTH SALT LAKE, UT 84054-0640
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OR
225X00000X
Occupational Therapist
—
OR
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
01/22/2018
Last updated
11/13/2024
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