Individual
MRS. IRIS BEATRIX HUBSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
647 E 130 S, DIETRICH, ID 83324-5000
(208) 308-5536
Mailing address
647 E 130 S, DIETRICH, ID 83324-5000
(208) 308-5536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT528
ID
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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