| NPI | 1003962036 |
|---|---|
| Former Legal Business Name | MICHAEL DEVITT PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN DEVITT President 208-367-1528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: ID pt-859) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2014-09-16 |