Individual
KEVIN T VOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 W SULLIVAN ST, BOISE, ID 83706-4755
(218) 791-5058
Mailing address
707 W SULLIVAN ST, BOISE, ID 83706-4755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2417
ID
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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