| NPI | 1245766518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRET ADAMS Owner/Partner 208-939-0533 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-2983) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |