| NPI | 1902182298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJCOOMAR ISSUREE Physical Therapist/Director 208-376-7313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: ID PT670) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2012-04-16 |