Individual
FAITH VIRGINIA MORTON PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2005 12TH AVE RD, NAMPA, ID 83686-6311
(208) 463-0022
(208) 463-0031
Mailing address
2005 12TH AVE RD, NAMPA, ID 83686-6311
(208) 463-0022
(208) 463-0031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2342
ID
Other
Enumeration date
02/27/2008
Last updated
07/20/2011
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