Individual
STEFAN GEORGIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3035 W MCMILLAN RD STE 104, MERIDIAN, ID 83646-6292
(208) 887-8684
Mailing address
3035 W MCMILLAN RD STE 104, MERIDIAN, ID 83646-6292
(208) 887-8684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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