| NPI | 1568239572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN L ZAHNER Physical Therapist, Director 208-403-2062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QC1500X Clinic/Center, Community Health | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2023-12-08 |