| NPI | 1891402335 |
|---|---|
| Doing Business As | TAI - NW BOISE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MELISSA HAMILTON Director Payer & Provider Relations 503-443-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2023-05-22 |