| NPI | 1396367645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEANN MARIE PRICE President/Clinical Director 208-230-5812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2020-05-09 |
| Last Update Date | 2020-05-09 |