| NPI | 1730803362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL M BRIGHT Business Office Manager 208-380-3886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2023-10-09 |