NPI 1023656618

Lisa Camille Dialogue, PTA

Practitioner Physical Therapy Assistant Boise, ID

Practice location

Address: 6074 N Discovery Way STE 110, Boise, ID 83713-0210
Phone: (208) 288-1155

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-5601 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1023656618
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2019
Record last updated: 15 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.