# OROFINO PHYSICAL THERAPY AND WELLNESS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598808099
- **Authorized official:** JOHN M GARRISON RPT (OWNER)
- **Authorized official phone:** (208) 476-9365

## Contact information

- **Practice address:** 1005 MICHIGAN AVE, OROFINO, ID 83544
- **Practice address phone:** (208) 476-9365
- **Practice address fax:** (208) 476-9366
- **Mailing address:** PO BOX 1236, OROFINO, ID 83544-1236
- **Mailing address phone:** (208) 476-9365
- **Mailing address fax:** (208) 476-9366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | RPT-053 | ID | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/03/2007