Individual
MR. JOSHUA AARON KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
25030 SW PARKWAY AVE, #101, WILSONVILLE, OR 97070-9816
(503) 582-1073
(503) 582-1093
Mailing address
PO BOX 592, WEST LINN, OR 97068-0592
(503) 723-5049
(503) 655-9305
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05484
OR
Other
Enumeration date
07/26/2007
Last updated
02/23/2009
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