NPI | 1750923363 |
---|---|
Doing Business As | TYLER WILLIAMS PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | TYLER ROSS WILLIAMS-ELSTEIN Physical Therapist 208-921-3372 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2019-10-15 |
Last Update Date | 2019-10-15 |