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Individual

DAVID S RAY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
1175 E PARKCENTER BLVD, STE 101, BOISE, ID 83706-6751
(208) 367-1010
Mailing address
3090 E GENTRY WAY, STE 250, MERIDIAN, ID 83642-3501
(208) 888-0044

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-973
ID

Other

Enumeration date
06/09/2006
Last updated
07/08/2007
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