Individual
RYAN DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
50 E JAMES COURT DR STE A, MERIDIAN, ID 83646-8751
(208) 895-0715
(208) 895-0746
Mailing address
50 E JAMES COURT DR STE A, MERIDIAN, ID 83646-8751
(208) 895-0715
(208) 895-0746
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6563
ID
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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