Organization
ADVANCE PHYSICAL THERAPY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ANN PRICE MPT (PRESIDENT)
(208) 263-7998
Entity
Organization
Contact information
Practice address
1905 W PINE STREET, SANDPOINT, ID 83864
(208) 263-7998
(208) 255-2423
Mailing address
1905 W PINE STREET, SANDPOINT, ID 83864
(208) 263-7998
(208) 255-2423
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-594
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805746500
—
ID
Enumeration date
09/30/2008
Last updated
09/30/2008
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