Organization
MOUNTAIN VIEW PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN BOYD PT (PRESIDENT)
(208) 290-5575
Entity
Organization
Contact information
Practice address
803 PINE ST, SANDPOINT, ID 83864-1828
(208) 290-5575
(208) 255-5830
Mailing address
803 PINE ST, SANDPOINT, ID 83864-1828
(208) 290-5575
(208) 255-5830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1568
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TD630
BLUE CROSS OF IDAHO
ID
Enumeration date
05/10/2007
Last updated
07/24/2007
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