Center for Orthopedic Rehabilitation

NPI #1801944400 in Pocatello, Idaho

Provider Information

NPI Number: 1801944400
Entity Type: Organization
Organization Name: Center for Orthopedic Rehabilitation
Primary Specialty: Physical Therapist
Enumeration Date: Jan 8, 2007
Last Updated: Dec 9, 2009

Practice Location

Address: 275 S 5TH AVE STE 140
City: Pocatello
State: Idaho
ZIP Code: 83201-6410
Phone: (208) 232-4267

Authorized Official

Name: JOHN T BATES, MPT
Title: PRESIDENT
Phone: (208) 232-4267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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