| NPI | 1821855750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA RHEA CALDWELL Physical Therapist 208-721-3308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |