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Individual

MR. ROBERT BRET ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
12072 W MCMILLAN RD, BOISE, ID 83713-2462
(208) 939-0533
(208) 939-3341
Mailing address
12072 W MCMILLAN RD, BOISE, ID 83713-2462
(208) 939-0533
(208) 939-3341

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1208
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
805572200
ID
Enumeration date
10/18/2006
Last updated
11/08/2013
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