Individual
MADELINE MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S ALLUMBAUGH WAY, BOISE, ID 83709-5658
(208) 323-8888
(208) 323-8889
Mailing address
101 S ALLUMBAUGH WAY, BOISE, ID 83709-5658
(208) 323-8888
(208) 323-8889
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT-8960
ID
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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