Individual
HEIDI DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3456 E 17TH ST, #130, AMMON, ID 83406-6757
(208) 523-0030
Mailing address
268 STONE RUN LN, IDAHO FALLS, ID 83404-7248
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-2801
ID
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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