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Individual

MRS. LINDA ANN CHATBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1556 S TIMESQUARE LN, BOISE, ID 83709-8269
(208) 321-7831
(208) 323-7651
Mailing address
6311 S PEPPERTREE AVE, BOISE, ID 83716-7114
(208) 344-6311
(208) 321-7651

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA032
ID

Other

Enumeration date
12/11/2006
Last updated
07/08/2007
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