Organization
MALEKI PHYSICAL THERAPY SERVICES
Active
Organization
MALEKI PHYSICAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR GHANEM MALEKI PT, DPT, CSMT (PHYSICAL THERAPIST)
(701) 730-1888
Entity
Organization
Contact information
Practice address
671 E RIVERPARK LN, BOISE, ID 83706-4066
(218) 590-4159
Mailing address
7131 W BRENTWOOD DR, BOISE, ID 83709-1925
(701) 730-1888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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