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Individual

CAROLYN ANN SPURLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
678 SOUTHWAY AVE, LEWISTON, ID 83501-3783
(208) 746-1418
Mailing address
3865 LAKEVIEW DR, LEWISTON, ID 83501-8601
(208) 413-6614

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4198
ID

Other

Enumeration date
08/13/2015
Last updated
08/13/2015
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