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Individual

SCOTT FORWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2814 S INDIANA AVE, CALDWELL, ID 83605-5925
(208) 454-0380
(208) 454-6388
Mailing address
2814 S INDIANA AVE, CALDWELL, ID 83605-5925
(208) 454-0380
(208) 454-6388

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-074
ID

Other

Enumeration date
06/10/2008
Last updated
06/10/2008
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