Individual
LINSEY SUNDERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1224 8TH STREET, SUITE A, RUPERT, ID 83610
(208) 436-9016
Mailing address
1224 8TH ST STE A, RUPERT, ID 83350-1527
(208) 436-9016
(208) 436-4922
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-4605
ID
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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