Individual
COREY STURM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2475 S APPLE ST, BOISE, ID 83706-5150
(208) 385-3400
Mailing address
6200 N RIVER POINTE DR APT C204, GARDEN CITY, ID 83714-1851
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7474
ID
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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