Lakewood Physical Therapy LLC

NPI #1699840835 in Coeur D Alene, Idaho

Provider Information

NPI Number
1699840835
Entity Type
Organization
Organization Name
Lakewood Physical Therapy LLC
Subpart
Yes (part of a larger organization)
Parent Organization
NORTH IDAHO FAMILY PHYSICIANS
Primary Specialty
Physical Therapist
Enumeration Date
Nov 22, 2006
Last Updated
Oct 16, 2009

Practice Location

Address
1401 LINCOLN WAY
State
Idaho
ZIP Code
83814-2334
Phone
(208) 676-1424

Authorized Official

Name
ERIC KOELSCH
Title
EXECUTIVE DIRECTOR
Phone
(208) 676-0145

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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