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-- JACE EYRE --

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1427425453
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
1351 W PINE AVE, MERIDIAN, ID, 836425031
Phone
(208) 888-7049

Specialties & Taxonomies

Physical Therapy Assistant Primary License: ID #4188

All Addresses

MAILING

1351 W PINE AVE

MERIDIAN, ID, 836425031

(208) 888-7049

LOCATION

1351 W PINE AVE

MERIDIAN, ID, 836425031

(208) 888-7049