| NPI | 1346531969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI-ANN BLUEMER-TIERNEY President 208-659-0750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT1767) |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2011-06-10 |