| NPI | 1710163951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ERROL MOBLEY Owner/Physical Therapist 208-745-8332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: ID RPT895) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2010-09-29 |