Individual provider · Type 1 NPI

Charles Cody Oliver Jr., PT, DPT

Pediatric Physical Therapist · Boise, ID

NPI number 1689012049 Active

Practice location

7211 W Franklin Rd
Boise, ID 83709-0926

Call (208) 375-4200 Map

Mailing address

3161 S Glacier Bay Way
Meridian, ID 83642-7824

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT-3307 (ID)

Pediatric Physical Therapist: 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 th…

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About NPI 1689012049

Charles Cody Oliver Jr., PT, DPT's National Provider Identifier is 1689012049, issued on Jun 7, 2013. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Boise, ID. The record was last updated on Jun 7, 2013.