Individual
GREGORY A ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
16768 N HIGHWAY 41, RATHDRUM, ID 83858-8715
(208) 687-9195
(208) 687-9750
Mailing address
16768 N HIGHWAY 41, RATHDRUM, ID 83858-8715
(208) 687-9195
(208) 687-9750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5329
ID
Other
Enumeration date
12/22/2017
Last updated
12/22/2017
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