Individual
MOISES JOSHUA ALBANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3115 N SYCAMORE DR, BOISE, ID 83703-4129
(208) 343-7726
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(877) 407-3422
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-3098
ID
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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