Eagle Orthopedic & Sports Physical Therapy, Pllc

NPI #1952425464 in Driggs, Idaho

Provider Information

NPI Number: 1952425464
Entity Type: Organization
Organization Name: Eagle Orthopedic & Sports Physical Therapy, Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Mar 19, 2007
Last Updated: Mar 6, 2015

Practice Location

Address: 600 VALLEY CENTRE DRIVE
City: Driggs
State: Idaho
ZIP Code: 83422
Phone: (208) 354-0089

Authorized Official

Name: CHRISTINE M. LUNDBERG, PT
Title: PHYSICAL THERAPIST/OWNER
Phone: (208) 354-0089

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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