Individual
JENNIFER R THOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
5909 W STATE ST, BOISE, ID 83703-3039
(208) 343-7700
Mailing address
12393 W DE MEYER ST, BOISE, ID 83713-1402
(208) 918-9930
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT-5497
ID
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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