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Organization
SAWTOOTH REHAB, PLLC
Active
Organization
SAWTOOTH REHAB, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC D ROBERTS MSPT, CSCS (OWNER)
(208) 522-7627
Entity
Organization
Contact information
Practice address
3422 S 15TH E, IDAHO FALLS, ID 83404-8262
(208) 522-7627
(208) 524-6300
Mailing address
3422 S 15TH E, IDAHO FALLS, ID 83404-8262
(208) 522-7627
(208) 524-6300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT-2268
ID
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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