Individual
DR. ANNAH BENEDICT DAHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
PORGY & PETUNIA'S PEDIATRIC THERAPY 111 E LILLIAN, SUITE 8, SALMON, ID 83467
(208) 940-2170
(208) 756-2354
Mailing address
812 SHOUP ST, SALMON, ID 83467-4305
(208) 940-2170
(208) 756-2354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4060
ID
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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