Individual
MRS. SARAH ANN NILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2514 N 7TH ST, COEUR D ALENE, ID 83814-3720
(208) 664-8128
Mailing address
453 COWBOY WAY, ATHOL, ID 83801-6027
(208) 301-2935
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2653
ID
Other
Enumeration date
11/03/2012
Last updated
11/03/2012
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