| Mr Didier Louis Balcaen, RPT | |
|
33 Enterprise Dr Ste 101, Bonners Ferry, ID 83805-6266 | |
| (208) 597-7250 | |
| (208) 550-3752 |
| Full Name | Mr Didier Louis Balcaen |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 33 Enterprise Dr Ste 101, Bonners Ferry, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013790658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1202 (Idaho) | Primary |
| Provider Name | Restoration Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1093465015 PECOS PAC ID: 4688054182 Enrollment ID: O20220630000103 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Didier Louis Balcaen, RPT 474 Stoney Trail Rd, Naples, ID 83847-5038 Ph: (208) 267-6460 | Mr Didier Louis Balcaen, RPT 33 Enterprise Dr Ste 101, Bonners Ferry, ID 83805-6266 Ph: (208) 597-7250 |
Joshua Allen Kaufmann, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 33 Enterprise Dr Ste 101, Bonners Ferry, ID 83805 Phone: 208-597-7250 Fax: 208-550-3752 | |
Mrs. Karen Ann Meeker, R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Hc 60 Box 13, Bonners Ferry, ID 83805 Phone: 208-267-2803 Fax: 208-267-3048 | |
Jeffrey Petersen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141 Fax: 208-267-1747 |