| NPI | 1598222770 |
|---|---|
| Doing Business As | STAR PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS BALL M PT, Owner 208-251-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-09-26 |