| NPI | 1245529569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W LEMON Owner/CEO 208-233-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-06-21 |