NPI | 1184335184 |
---|---|
Doing Business As | IDAHO FAMILY PT |
Entity Type | Organization |
Authorized Contact | CONNOR TODD BROWN Owner 425-375-8991 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2022-12-09 |
Last Update Date | 2023-02-13 |