Individual
JOSHUA DAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
423 IDAHO ST STE A, GOODING, ID 83330-1258
(208) 934-9011
(208) 934-9014
Mailing address
423 IDAHO ST STE A, GOODING, ID 83330-1258
(208) 934-9011
(208) 934-9014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4010
ID
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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