Organization
SANDPOINT PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ELIZABETH THOME DPT (OWNER)
(210) 393-8090
Entity
Organization
Contact information
Practice address
1301 N DIVISION AVE, SANDPOINT, ID 83864-8268
(208) 265-0610
(208) 265-9192
Mailing address
1301 N DIVISION AVE, SANDPOINT, ID 83864-8268
(208) 265-0610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215237201
—
ID
Enumeration date
02/21/2019
Last updated
02/21/2019
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