Individual
KAYLA NADAREVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S HILTON ST, BOISE, ID 83705-1925
(208) 353-8643
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3282
ID
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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