| NPI | 1497948509 |
|---|---|
| Doing Business As | SUPERIOR PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | BART W MCDONALD Owner 208-233-2248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-1555) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID OT-884) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2015-09-10 |