Organization
PHYSIOTHERAPY P.A.
Active
Organization
PHYSIOTHERAPY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALAN FLECKENSTEIN MPT (ADMINISTRATOR)
(208) 938-8020
Entity
Organization
Contact information
Practice address
661 S RIVERSHORE LN, EAGLE, ID 83616-5396
(208) 938-8020
(208) 938-8016
Mailing address
661 S RIVERSHORE LN, EAGLE, ID 83616-5396
(208) 938-8020
(208) 938-8016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/01/2006
Last updated
08/22/2020
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