Individual
DONNA GAIL FLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA AAS
Contact information
Practice address
368 W KING RD, KUNA, ID 83634-1710
(208) 922-3465
Mailing address
368 W KING RD, KUNA, ID 83634-1710
(208) 922-3465
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-274
ID
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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