NPI | 1427103837 |
---|---|
Former Legal Business Name | IDAHO PT INC |
Entity Type | Organization |
Authorized Contact | SHELLIE MCCARTHY VP Administration 208-314-5904 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2007-01-24 |
Last Update Date | 2022-12-14 |