Individual
BRIAN THORNOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
337 W IOWA AVE, NAMPA, ID 83686-2856
(208) 467-7889
(208) 467-7800
Mailing address
1560 S CAROL ST, MERIDIAN, ID 83646-1839
(208) 288-1155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3784
ID
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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