| NPI | 1417792235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA AUGUSTINA KOSBERG Owner/ Physical Therapist 208-283-7291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |