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Michael Lafferty, PTA Valid NPI

Individual provider · Physical Therapy Assistant · Weiser, ID

NPI
1093147308
Type
Individual (Type 1)
Primary specialty
Physical Therapy Assistant
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
225200000X
License number
PTA-3058 (ID)
Sex
Male
Sole proprietor
Yes
Enumerated
2013-08-08
Last updated
2013-08-08
Practice location
331 E Park St
Weiser, ID 83672-2053
(208) 549-2416

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