Touchmark at Meadow Lake Village Reitrement Resort, LLC

NPI #1023494747 in Meridian, Idaho

Provider Information

NPI Number
1023494747
Entity Type
Organization
Organization Name
Touchmark at Meadow Lake Village Reitrement Resort, LLC
Primary Specialty
Physical Therapist
Enumeration Date
Aug 4, 2015
Last Updated
Aug 4, 2015

Practice Location

Address
4037 E CLOCKTOWER LN
State
Idaho
ZIP Code
83642-8183
Phone
(208) 888-2277

Authorized Official

Name
BRIAN E. PRYOR
Title
EXECUTIVE VICE PRESIDENT
Phone
(503) 646-5186

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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