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Individual

DR. JOSHUA GLEN WOOLSTENHULME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, PHD, LAMFT

Contact information

Practice address
1510 W USTICK RD STE 110, MERIDIAN, ID 83646-7740
(208) 520-0752
Mailing address
3401 NW 12TH AVE, MERIDIAN, ID 83646-6796
(208) 520-0752

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT-9985
ID
225100000X
Physical Therapist
PT-2303
ID

Other

Enumeration date
04/10/2024
Last updated
04/10/2024
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