DANIEL VINCENT PTA
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1760173405- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 4623 ENTERPRISE WAY, CALDWELL, ID, 836056764
- Phone
- (208) 455-4231
Specialties & Taxonomies
Physical Medicine & Rehabilitation
Primary License: ID #PTA-7438