Individual
QUINTON E ERHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 377-3850
Mailing address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6091
ID
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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