| NPI | 1790294973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE ANNE MADDEN Owner/Physical Therapist 208-813-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |