NPI | 1194243691 |
---|---|
Doing Business As | SUPERIOR PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | BART W MCDONALD Owner 208-233-2248 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2017-09-05 |
Last Update Date | 2022-07-21 |