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AUTUMN GROVE

Physical Therapist

NPI: 1033596747IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical Therapist — Orthopedic

Code: 2251X0800X

PTL. 0013479(CO)

Physical Therapist

Code: 225100000X

PT-5390(ID)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2012

Contact & Hours

Via practice · 2 locations total

Address
8238 N GOVERNMENT WAY
HAYDEN, ID 83835

Quick Facts

NPI
1033596747
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
14

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