Individual
STEEN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
4424 E FLAMINGO AVE, NAMPA, ID 83687-9289
(208) 288-4670
Mailing address
4424 E FLAMINGO AVE, NAMPA, ID 83687-9289
(208) 288-4670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT - 4079
ID
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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