NPI | 1194241380 |
---|---|
Doing Business As | ADAVANCED PERFORMANCE PHYSICAL THERAPY ASSOCIATES |
Former Legal Business Name | ADVANCED PERFORMANCE PHYSICAL THERAPHY ASSOCIATES PLLC |
Entity Type | Organization |
Authorized Contact | ROBERT LANCE MARSHALL Owner 208-478-6780 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: ID PT1003) |
Enumeration Date | 2017-08-18 |
Last Update Date | 2018-01-25 |