Table Rock Physical Therapy

NPI #1134639248 in Boise, Idaho

Provider Information

NPI Number
1134639248
Entity Type
Organization
Organization Name
Table Rock Physical Therapy
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Oct 3, 2017
Last Updated
Oct 3, 2017

Practice Location

Address
6098 E GRAND PRAIRIE DR
City
Boise
State
Idaho
ZIP Code
83716-4700
Phone
(208) 813-1330

Authorized Official

Name
JANE ANNE MADDEN, DPT
Title
OWNER/PHYSICAL THERAPIST
Phone
(208) 813-1330

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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