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Individual

KYLE VANDEN BOSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
254 RIVER VISTA PL, TWIN FALLS, ID 83301-3006
(208) 734-7333
Mailing address
254 RIVER VISTA PL, TWIN FALLS, ID 83301-3006
(208) 734-7333

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6805
ID

Other

Enumeration date
06/19/2020
Last updated
06/19/2020
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