| NPI | 1033359450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC TAMURA Administrator / Managing Employee 208-887-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2018-05-17 |