Primary Therapy Source, INC

NPI #1710007331 in Twin Falls, Idaho

Provider Information

NPI Number
1710007331
Entity Type
Organization
Organization Name
Primary Therapy Source, INC
Primary Specialty
Physical Therapist
Enumeration Date
Mar 29, 2007
Last Updated
Jul 10, 2007

Practice Location

Address
254 RIVER VISTA PL
State
Idaho
ZIP Code
83301-3006
Phone
(208) 734-7333

Authorized Official

Name
DEBORAH JAN YINGST, PT
Title
OWNER
Phone
(208) 734-7333

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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