Individual
THERESE MARIE GERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9490 FAIRVIEW AVE, BOISE, ID 83704-8101
(208) 322-7061
(208) 321-7052
Mailing address
3906 CATALPA DR, BOISE, ID 83703-4258
(208) 344-7913
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-372
ID
Other
Enumeration date
02/06/2007
Last updated
01/28/2008
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