| NPI | 1134639248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE ANNE MADDEN Owner/Physical Therapist 208-813-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |