NPI | 1013423482 |
---|---|
Doing Business As | SUPERIOR PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | BART W MCDONALD Owner 208-233-2248 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2017-12-21 |
Last Update Date | 2018-03-17 |