| NPI | 1598808099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M GARRISON Owner 208-476-9365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ID RPT-053) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-08-03 |