Quinton E Erhard
Physical Therapist in Boise, ID. Individual provider (NPI-1).
NPI number1982167540
StatusActive
Last updated in NPPESApr 10, 2019
Details
- NPI
- 1982167540
- Entity type
- Individual (NPI-1)
- Name
- Quinton E Erhard
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2019
- Last updated
- Apr 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT-6091 | ID | Yes |
Practice location
7979 W Rifleman StBoise, ID 83704-9066
Phone 208-377-3850
Mailing address
7979 W Rifleman StBoise, ID 83704-9066
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