NPI | 1669132353 |
---|---|
Doing Business As | KESTREL THERAPY GROUP |
Entity Type | Organization |
Authorized Contact | RONALD MILLER JR. Member 208-340-5099 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2021-12-22 |
Last Update Date | 2021-12-22 |