Individual
GILLIAN SHAW SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9850 W ST LUKES DR STE 216, NAMPA, ID 83687-7912
(208) 385-3600
Mailing address
533 E PARKCENTER BLVD APT 321, BOISE, ID 83706-6763
(314) 537-3255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7260
ID
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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