| NPI | 1548524440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR GEORGE BARNES Doctor Of Physical Therapy 208-681-3757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-3009) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-09-17 |