NELSON JAMIR
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1568901080- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 640 N EISENHOWER ST, MOSCOW, ID, 838439588
- Phone
- (208) 882-6560
Specialties & Taxonomies
Physical Therapy Assistant
License: NE #1565
Physical Therapy Assistant
Primary License: ID #5400