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NPI Profile for CHRISTOPHER D GAMMON in BOISE, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
2251H1200X | 65 | Physical Therapist in Private Practice |
| NPI # | 1104838325 |
|
| Status | Active | |
| Credentials | OTR (Registered Occupational Therapist) | |
| Entity | Individual | |
| Enumeration date | 08/13/2006 | |
| Last updated | 02/05/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CHRISTOPHER D GAMMON, OTR