Individual
MICHAEL JOHN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1127 CALDWELL BLVD, NAMPA, ID 83651
(208) 465-4935
(208) 465-4953
Mailing address
1025 S ASH AVE, KUNA, ID 83634
(208) 362-0756
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT682
ID
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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