NPI | 1184297111 |
---|---|
Doing Business As | HIDDEN SPRINGS PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | MARK LEE MOSS Owner 208-921-2591 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2021-07-19 |
Last Update Date | 2024-11-20 |