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 |