Caribou Physical Therapy P.c. | |
47390 Highway 200, Hope, ID 83836-9647 | |
(208) 265-8333 | |
(208) 263-1394 |
Full Name | Caribou Physical Therapy P.c. |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 47390 Highway 200, Hope, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366698003 | NPI | - | NPPES |
000010023365 | Other | ID | BLUE SHIELD |
TD780 | Other | BLUE CROSS | |
804274300 | Medicaid | ID | |
12083282 | Other | ID | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 225100000X (Idaho) | Primary |
Provider Name | Paula A Lund |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306858311 PECOS PAC ID: 4880626704 Enrollment ID: I20050831000399 |
Provider Name | Christian A Vanderford |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770747404 PECOS PAC ID: 7618041831 Enrollment ID: I20080806000679 |
Mailing Address | Practice Location Address |
---|---|
Caribou Physical Therapy P.c. 22 Roundhouse Cir, Sandpoint, ID 83864-8674 Ph: (208) 265-8333 | Caribou Physical Therapy P.c. 47390 Highway 200, Hope, ID 83836-9647 Ph: (208) 265-8333 |
Paula Amy Lund, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 47390 Highway 200, Hope, ID 83836 Phone: 208-265-8333 Fax: 208-263-1394 |