NPI | 1063896546 |
---|---|
Doing Business As | ORTHOPEDIC SPORTS INSTITUTE |
Other Name | ORTHOPEDIC SPORTS PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | ADAM JAMES OLSCAMP W2 Managing Owner 208-457-4211 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207X00000X Orthopaedic Surgery |
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
207XX0005X Orthopaedic Surgery, Sports Medicine | |
225100000X Physical Therapist | |
2251S0007X Physical Therapist, Sports | |
2251X0800X Physical Therapist, Orthopedic | |
363A00000X Physician Assistant | |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2015-07-15 |
Last Update Date | 2024-11-03 |