Northrup Physical Therapy, PC

NPI #1629146857 in Chubbuck, Idaho

Provider Information

NPI Number
1629146857
Entity Type
Organization
Organization Name
Northrup Physical Therapy, PC
Primary Specialty
Physical Therapist
Enumeration Date
Dec 4, 2006
Last Updated
Jul 12, 2007

Practice Location

Address
4473 FOX CT
State
Idaho
ZIP Code
83202-2670
Phone
(208) 221-6952

Authorized Official

Name
DERRICK NORTHRUP, P.T.
Title
OWNER PRESIDENT
Phone
(208) 221-6952

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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