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Mrs. ALEXANDRIA MYKAEL SCHOONOVER

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1659010395
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
120 E PINE ST, CALDWELL, ID, 836054836
Phone
(208) 454-5142

Specialties & Taxonomies

Physical Therapy Assistant Primary License: ID #5044

All Addresses

MAILING

11127 W BLAINE AVE

NAMPA, ID, 836515089

(208) 404-6942

LOCATION

120 E PINE ST

CALDWELL, ID, 836054836

(208) 454-5142