Individual
BRITANY JENNIFER CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
222 E ELM ST, CALDWELL, ID 83605-4815
(208) 459-2436
Mailing address
623 BRAMPTON DR, CALDWELL, ID 83605-6750
(208) 863-2288
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-6429
ID
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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