| 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 |