| NPI | 1447383625 |
|---|---|
| Former Legal Business Name | SUMMIT REHABILITATION ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MARK B BENGTSON Owner 208-777-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-09-11 |