Individual
TREVOR JOSEPH ECCLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
415 E PARKCENTER BLVD, SUITE 114 TAI - BOISE PHYSICAL THERAPY - PARKCENTER, BOISE, ID 83706-6505
(208) 433-9211
(208) 433-9241
Mailing address
11481 SW HALL BLVD, STE 201 THERAPEUTIC ASSOCIATES INC, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1990
ID
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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