| NPI | 1255567236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS ANGUS MASON Owner 208-678-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: ID PT-2031) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |