Organization
CANFIELD PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI-ANN BLUEMER-TIERNEY MPT (PRESIDENT)
(208) 659-0750
Entity
Organization
Contact information
Practice address
402 W CANFIELD AVE, STE 5, COEUR D ALENE, ID 83815-7784
(208) 659-0750
(208) 772-0246
Mailing address
PO BOX 3138, HAYDEN, ID 83835-3138
(208) 659-0750
(208) 772-0246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1767
ID
Other
Enumeration date
04/30/2011
Last updated
06/10/2011
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