Individual
MRS. EMILY JO DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10532 W BUSINESS PARK LN, BOISE, ID 83709-6797
(208) 477-7363
Mailing address
10532 W BUSINESS PARK LN, BOISE, ID 83709-6797
(208) 477-7363
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTA-4166
ID
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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