Individual
MS. CYNTHIA J KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
179 SW 5TH AVE, MERIDIAN, ID 83642-2995
(904) 625-1833
Mailing address
5138 E FESCUE ST, BOISE, ID 83716-7046
(904) 625-1833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 22000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890812500
—
FL
Enumeration date
01/04/2007
Last updated
10/31/2008
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