Individual
JILL ELLEN BILLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4890 N CLOVERDALE RD, BOISE, ID 83713-2401
(208) 938-5529
Mailing address
924 N YARMOUTH PL, EAGLE, ID 83616-5383
(208) 447-6054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-978
ID
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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