Individual
BRENDAN ROURICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
520 S EAGLE RD, SUITE 2106, MERIDIAN, ID 83642-6351
(208) 489-5775
(208) 706-5777
Mailing address
520 S EAGLE RD, SUITE 2106, MERIDIAN, ID 83642-6351
(208) 489-5775
(208) 706-5777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2177
ID
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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