| NPI | 1780956292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINE A WALTERS Owner/ Physical Therapist 208-652-9979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID rpt-1604) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2020-02-25 |