Eagle Rock Physical Therapy Pllc
NPI #1174712418 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1174712418
- Entity Type
- Organization
- Organization Name
- Eagle Rock Physical Therapy Pllc
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Oct 23, 2007
- Last Updated
- Apr 19, 2021
Practice Location
- Address
- 1510 ELK CREEK DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-8322
- Phone
- (208) 522-7627
Authorized Official
- Name
- DR. JACOB BENJAMIN ROBERTS, DPT
- Title
- PHYSICAL THERAPIST
- Phone
- (208) 521-7336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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