Organization
PAULA K PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA AUGUSTINA KOSBERG DPT (OWNER/ PHYSICAL THERAPIST)
(208) 283-7291
Entity
Organization
Contact information
Practice address
5995 W STATE ST STE A, GARDEN CITY, ID 83703-3085
(208) 283-7291
(208) 254-5206
Mailing address
5995 W STATE ST STE A, GARDEN CITY, ID 83703-3085
(208) 283-7291
(208) 254-5206
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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