Individual
OI MIN ANTHONY CHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
183 FARRENS CREEK LANE, GRANGEVILLE, ID 83530
(951) 205-2380
Mailing address
183 FARRENS CREEK LANE, GRANGEVILLE, ID 83530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1981
ID
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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