Individual
MS. SUSAN ELANE CAHOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1127 CALDWELL BLVD, NAMPA, ID 83651
(208) 465-4935
(208) 465-4953
Mailing address
200 WALNUT CREEK WAY, NAMPA, ID 83686
(208) 463-2334
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA041
ID
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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