Organization
ALICE STERNKE & ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE STERNKE RPT (OWNER)
(208) 343-1173
Entity
Organization
Contact information
Practice address
1785 DANMORE DR, BOISE, ID 83712-6606
(208) 343-1173
(208) 343-1049
Mailing address
PO BOX 1886, TWIN FALLS, ID 83303-1886
(208) 736-0887
(208) 736-0890
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-114
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010018457
REGENCE
ID
05
—
804083800
—
ID
01
—
T0643
BLUE CROSS
ID
Enumeration date
07/02/2006
Last updated
04/05/2013
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