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Contact Information

LYNNE M MARGOLIS, PT
875 S VANGUARD WAY STE 110
MERIDIAN, ID83642-8541
 Phone: 208-463-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for LYNNE M MARGOLIS · (Female)

NPI # 1487827093
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 04/04/2008
Last updated 11/17/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # PT-8371
  • UT License # 120505-2401
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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