person
Charles Cody Oliver JR., PT,DPT
Pediatric Physical Therapist in Boise, Idaho
NPI 1689012049

Charles Cody Oliver JR. is a Pediatric Physical Therapist based in Meridian, ID and is specialized in Pediatrics. Charles Cody Oliver JR. practices in Boise, ID and has the professional credentials of PT,DPT. The NPI Number for Charles Cody Oliver JR. is 1689012049 and holds a License No. PT-3307 (Idaho).

The current practice location address for Charles Cody Oliver JR. is 7211 W Franklin Rd, Boise, ID and can be reached out via phone at 208-375-4200.

Location: 7211 W Franklin Rd, Boise, ID, 83642-7824
person
Provider Profile Details
NPI Number
1689012049
Provider Name
Charles Cody Oliver JR.
Credential
PT,DPT
Provider Entity Type
Individual
Gender
Male
Address
7211 W Franklin Rd, Boise, ID, 83642-7824
Phone Number
208-375-4200
Fax Number
Provider Enumeration Date
06/07/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7211 W Franklin Rd
City
State
Zip
83709-0926
Phone Number
208-375-4200
Fax Number
person
Provider Business Mailing Address Details
Address
7211 W Franklin Rd
City
State
Zip
83709-0926
Phone Number
208-375-4200
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
License No.
PT-3307 (Idaho)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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