Individual
MRS. LINDA MARIE OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSCPT, COMT, FCAMPT
Contact information
Practice address
1673 W. SHORELINE DR., SUITE 230, BOISE, ID 83702
(208) 343-4700
(208) 343-4706
Mailing address
1618 MILLENIUM WAY, SUITE 210, MERIDIAN, ID 83642-6439
(208) 884-4647
(208) 884-8984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1592
ID
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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