| NPI | 1861783656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN RICO BENEDETTI Owner/CEO 208-251-9831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-131) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |