| NPI | 1619360245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA M STREHLE Physical Therapist 208-743-1795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: ID PT-1861) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2020-12-21 |