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Miss CAROLINE BRINSON BUSH PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1730756917
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
960 S BROADWAY AVE, BOISE, ID, 837063600
Phone
(208) 433-9211

Specialties & Taxonomies

Physical Therapy Assistant Primary License: ID #PTA-7147

All Addresses

MAILING

6243 S WAYLAND WAY

MERIDIAN, ID, 836425711

(901) 786-2761

LOCATION

960 S BROADWAY AVE

BOISE, ID, 837063600

(208) 433-9211