Doctor Name: | MS. ERICA LANE BUNNELL |
NPI Number: | 1013109313 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | DPT-2214 |
Business Practice Address: | 10790 W Overland Rd Boise, ID - 837091329 |
Business Phone Number: | 2083228709 |
Business Fax Number: | 2083228710 |
Mailing Address: | 10790 W Overland Rd, BOISE |
State: | ID |
Postal Code: | 837091329 |
Phone Number: | 2083228709 |
Fax Number: | 2083228710 |
NPI Enumeration Date: | 08/10/2007 |
NPI Last Update Date: | 08/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | DPT-2214 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |