Individual
BRYAN I SUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
901 N CURTIS RD, BOISE, ID 83706-1338
(208) 367-3315
Mailing address
6210 W DOUGLAS ST APT 201, BOISE, ID 83704-9447
(716) 803-4086
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7038
ID
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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