| NPI | 1801492673 |
|---|---|
| Doing Business As | VIVERANT |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RYAN LANHAM Employee 208-834-1864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2020-12-09 |