| NPI | 1427395151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT L HALL Owner/Provider 208-659-7553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1212938) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |