Individual
JONATHAN NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5850 N FIVE MILE RD, BOISE, ID 83713-5466
(208) 960-7274
(208) 318-1080
Mailing address
5850 N FIVE MILE RD, BOISE, ID 83713-5466
(082) 960-7274
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7402
ID
Other
Enumeration date
06/07/2021
Last updated
09/16/2021
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