Individual
JILL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3025 W CHERRY LN, MERIDIAN, ID 83642-8531
(208) 376-8593
Mailing address
515 W CALDERWOOD ST, MERIDIAN, ID 83642-8132
(208) 884-8216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT-1073
ID
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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