IDAHO LUNG AND HEART

REXBURG, ID
NPI1306608104
Entity TypeOrganization
Authorized ContactBRADLEY CORDERO
Physical Therapist
801-616-7253
Organization Subpart ?No
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
Enumeration Date2024-01-26
Last Update Date2024-10-04