Gavin Mceachern Morrison PT

NPI 1003912122 - Physical Therapist - 225100000X

NPI Details
NPI 1003912122
Gender Male
Enumeration Date 09/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1101 N 28TH ST
BOISE ID, 83702-2208, US
Phone (208) 336-1042
Fax
Business Location
4725 SAMARA ST
BOISE ID, 83703-3642, US
Phone (208) 336-1042
Fax
Toxanomy
Taxonomy Code 225100000X
License State Idaho
License Number PT-1516
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According to our database, Gavin Mceachern Morrison PT NPI is 1003912122, taxonomy code is 225100000X and license number is PT-1516, license state is located at Idaho. Gavin Mceachern Morrison PT physically located at 1101 N 28th St, Boise ID, 83702-2208. NPI Number Gavin Mceachern Morrison PT has the Individual type.

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1003912122 NPI number is provided on an as is basis without warranty of any kind. 1003912122 is maintained by the National Plan & Provider Enumeration System. The contents of Gavin Mceachern Morrison PT are for informational purposes only.