Individual
PAMELA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2910 W HAZEL ST, BOISE, ID 83703-5939
(208) 869-4172
Mailing address
2910 W HAZEL ST, BOISE, ID 83703-5939
(208) 869-4172
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1324
ID
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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