| NPI | 1780675512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A SCHWERMAN Physical Therapist 208-734-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2007-07-10 |