Preston Physical Therapy LLC

NPI #1831424878 in Preston, Idaho

Provider Information

NPI Number
1831424878
Entity Type
Organization
Organization Name
Preston Physical Therapy LLC
Primary Specialty
Physical Therapist
Enumeration Date
Oct 8, 2009
Last Updated
Dec 2, 2009

Practice Location

Address
10 S 100 W STE A
State
Idaho
ZIP Code
83263-1244
Phone
(208) 852-1143

Authorized Official

Name
CHARLES R ACEVEDO, PT
Title
MEMBER
Phone
(208) 852-1143

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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