Individual
BRIGHAM BICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
393 E 2ND N, REXBURG, ID 83440-1605
(208) 359-9570
(208) 359-9580
Mailing address
393 E 2ND N, REXBURG, ID 83440-1605
(208) 359-9570
(208) 359-9580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4633
ID
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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