Individual
MISS REEMA ARUN KHANOLKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 ALLUMBAUGH ST, BOISE, ID 83704-8700
(208) 854-8517
Mailing address
1289 N LIBERTY ST, APT#1326, BOISE, ID 83704-8894
(208) 559-5774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT-2054
ID
2251G0304X
Geriatric Physical Therapist
Primary
PT-2054
ID
Other
Enumeration date
05/15/2007
Last updated
09/11/2025
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