Laura Joanne Bainbridge FNP-C, PTA

NPI 1144434556 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1144434556
Gender Female
Enumeration Date 05/09/2007
Last Updated 06/25/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
1611 N. WHITLEY #7
FRUITLAND ID, 83619, US
Phone (208) 866-4067
Fax (541) 823-9096
Business Location
1611 N. WHITLEY #7
FRUITLAND ID, 83619, US
Phone (208) 866-4067
Fax (541) 823-9096
Toxanomy
Taxonomy Code 225200000X
License State Idaho
License Number PTA242
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According to our database, Mrs. Laura Joanne Bainbridge FNP-C, PTA NPI is 1144434556, taxonomy code is 225200000X and license number is PTA242, license state is located at Idaho. Laura Joanne Bainbridge FNP-C, PTA physically located at 1611 N. Whitley #7, Fruitland ID, 83619. NPI Number Laura Joanne Bainbridge FNP-C, PTA has the Individual type.

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1144434556 NPI number is provided on an as is basis without warranty of any kind. 1144434556 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Joanne Bainbridge FNP-C, PTA are for informational purposes only.