Most Relevant Information
Provider Data
| NPI Number: | 1003023334 |
| Provider Name: | DIANNE DENISE NELSON PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1193 |
Most Important Dates
| Enumeration Date: | 05/17/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1130 ALLUMBAUGH ST
BOISE
ID
837048700
Practice Location Phone/Fax
| Phone: | 2088548517 |
| Fax: |
Provider Mailing Location
6199 N BUCKLEY PL
BOISE
ID
837131202
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |