Idaho Outpatient Rehabilitation LLC
NPI #1689695249 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1689695249
- Entity Type
- Organization
- Organization Name
- Idaho Outpatient Rehabilitation LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jul 21, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2190 IRONWOOD PL
- Address 2
- SUITE B
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-2610
- Phone
- (208) 665-1839
Authorized Official
- Name
- MICHAEL CHRYSLER
- Title
- OWNER
- Phone
- (208) 665-1839
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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