| NPI | 1700180445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY TWEEDLE Business Manager 208-336-8250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: ID PT-1825) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |