Individual
TONYA CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7841 N HOLYOKE LOOP, COEUR D ALENE, ID 83815-4980
(208) 660-2183
Mailing address
7841 N HOLYOKE LOOP, COEUR D ALENE, ID 83815-4980
(208) 660-2183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
MASG-79
ID
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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