Mobile Rehab Group LLC

NPI #1629685029 in Eagle, Idaho

Provider Information

NPI Number: 1629685029
Entity Type: Organization
Organization Name: Mobile Rehab Group LLC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 29, 2020
Last Updated: Sep 29, 2020

Practice Location

Address: 516 S WOODDALE PL
City: Eagle
State: Idaho
ZIP Code: 83616-7713
Phone: (986) 224-8424

Authorized Official

Name: JAMES PHILLIP JOHNSON, MPT
Title: MEMBER
Phone: (986) 224-8424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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