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Individual

BRANDE TREMBLAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2200 IRONWOOD PL, COEUR D ALENE, ID 83814-2610
(208) 667-6486
Mailing address
2200 IRONWOOD PL, COEUR D ALENE, ID 83814-2610
(208) 667-6486

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
P1 60455847
WA
225200000X
Physical Therapy Assistant
Primary
PTA-3715
ID

Other

Enumeration date
10/21/2014
Last updated
10/21/2014
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