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Organization
JOSHUA TREE PHYSICAL THERAPY PLLC
Active
Organization
JOSHUA TREE PHYSICAL THERAPY PLLC
Active
Other names
Affordable Excellence in Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN JOHN SGROI P.T. (OWNER-OPERATOR)
(208) 772-9774
Entity
Organization
Contact information
Practice address
8300 N WAYNE DR, HAYDEN, ID 83835-6027
(208) 772-9774
(208) 772-9564
Mailing address
8300 N WAYNE DR, HAYDEN, ID 83835-6027
(208) 772-9774
(208) 772-9564
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT1457
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807014300
—
ID
Enumeration date
08/14/2006
Last updated
01/11/2023
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