Individual
MS. CLAIRE HEITZMAN RADICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1305 N 21ST ST, BOISE, ID 83702-2410
(208) 890-8691
Mailing address
1305 N 21ST ST, BOISE, ID 83702-2410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1011
ID
Other
Enumeration date
02/21/2007
Last updated
11/23/2012
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