IndividualActive
Angelina Lavrikova
NPI 1417797309 · Physical Therapy Assistant · Boise, ID
Provider details
- NPI number
- 1417797309
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PTA-9095 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5255 W Overland Rd
Boise, ID 83705-2637
Phone: (208) 338-9486
Approximate (ZIP-level) locationGet directions
Mailing address
2002 S Hilton St
Boise, ID 83705-3631
Registry dates
- Enumerated
- 2024-05-29
- Last updated
- 2024-05-29
- Certified
- 2024-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.