Organization
SIDDHIVINAYAK, LLC
Active
Other names
Fyzical Therapy & Balance Centers
Organization subpart
No
Provider details
NPI number
Authorized official
GUNJAN D PATEL PT (PRESIDENT)
(208) 703-4950
Entity
Organization
Contact information
Practice address
3645 E OVERLAND RD, MERIDIAN, ID 83642-6751
(208) 703-4950
Mailing address
5457 S ASHCROFT WAY, MERIDIAN, ID 83642-6866
(208) 703-4950
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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