| NPI | 1043910441 |
|---|---|
| Doing Business As | HOMEGROWN PT |
| Entity Type | Organization |
| Authorized Contact | ROSS GARDNER Owner, Physical Therapist 208-613-7361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-08-18 |