NPI | 1518705441 |
---|---|
Doing Business As | PALISADE PHYSICAL THERAPY & WELLNESS SERVICES |
Entity Type | Organization |
Authorized Contact | BRYANT GARDNER Owner/Practicing Therapist 208-569-5182 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2024-07-16 |
Last Update Date | 2024-09-09 |