JASON DETWILER

Physical Therapy Assistant

NPI: 1275197667Individual

Specialties, Licenses & Credentials

Physical Therapy AssistantPrimary

Physical Therapy Assistant

Code: 225200000X

40QB00360700(NJ)

Contact & Hours

Address: 2411 S ESSEX WAY
BOISE, ID 83709
Phone: (208) 353-0976

Quick Facts

NPI: 1275197667
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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