Individual
MS. GAYLE ANNE HYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
510 N 2ND ST, STE. 201, BOISE, ID 83702-6077
(208) 489-4999
Mailing address
510 N 2ND ST, STE. 201, BOISE, ID 83702-6077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
802
ID
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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