| NPI | 1487630240 |
|---|---|
| Doing Business As | TAI SE BOISE |
| Entity Type | Organization |
| Authorized Contact | TODD ROBERT GIFFORD Information Systems Director 503-443-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2015-05-06 |