NPI | 1598305922 |
---|---|
Entity Type | Organization |
Authorized Contact | REBEKAH ELIZABETH GUY Owner 208-342-2104 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2020-01-14 |
Last Update Date | 2024-02-14 |