| NPI | 1578671988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HOGAN Owner/ Physical Therapist 208-481-0275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: ID 651) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2011-10-04 |