IndividualActive
Charles Oliver, PT, DPT
NPI 1689012049 · Pediatric Physical Therapist · Boise, ID
Provider details
- NPI number
- 1689012049
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT-3307 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7211 W Franklin Rd
Boise, ID 83709-0926
Phone: (208) 375-4200
Approximate (ZIP-level) locationGet directions
Mailing address
3161 S Glacier Bay Way
Meridian, ID 83642-7824
Registry dates
- Enumerated
- 2013-06-07
- Last updated
- 2013-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.