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Individual

ANGELINA LAVRIKOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5255 W OVERLAND RD, BOISE, ID 83705-2637
(208) 338-9486
Mailing address
2002 S HILTON ST, BOISE, ID 83705-3631
(870) 204-4526

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-9095
ID

Other

Enumeration date
05/29/2024
Last updated
05/29/2024
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