Individual
ERIC PRESTON TAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3035 W MCMILLAN RD, SUITE 104, MERIDIAN, ID 83646-6163
(208) 887-8684
Mailing address
14436 W KETTLE CREEK DR, BOISE, ID 83713-2030
(208) 891-7887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6577
OR
Other
Enumeration date
10/17/2011
Last updated
12/30/2011
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