Individual
MRS. ERIN LYDON MOTTONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
601 W CAMERON AVE, KELLOGG, ID 83837-2004
(208) 784-1283
(208) 784-0151
Mailing address
601 W CAMERON AVE, KELLOGG, ID 83837-2004
(208) 784-1283
(208) 784-0151
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 416
ID
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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