Individual
HINA AIJAZ ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 S ORCHARD ST, BOISE, ID 83705-2620
(208) 939-0533
(208) 939-3341
Mailing address
4721 N TATTENHAM WAY, BOISE, ID 83713-2529
(208) 939-3341
(208) 939-3341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9071665
ID
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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