IndividualActive
Alice Loraine, DPT, OMS
NPI 1295129476 · Physical Therapist · Ponderay, ID
Provider details
- NPI number
- 1295129476
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT, OMS
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT-3693 (ID)
Practice location
210 Triangle Dr Ste E
Ponderay, ID 83852-9791
Phone: (208) 946-5364
Fax: (208) 946-5364
Mailing address
210 Triangle Dr Ste E
Ponderay, ID 83852-9791
Registry dates
- Enumerated
- 2015-03-25
- Last updated
- 2022-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.