Individual
MRS. BRENDA O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
775 POLE LINE RD W, SUITE 307, TWIN FALLS, ID 83301-5814
(208) 814-2495
Mailing address
466 MAURICE ST N, TWIN FALLS, ID 83301-4931
(208) 269-0208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT-1500
WY
225100000X
Physical Therapist
Primary
PT-3207
ID
Other
Enumeration date
09/06/2014
Last updated
09/06/2014
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