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Organization
DYNAMIC PHYSICAL THERAPY PLLC
Active
Organization
DYNAMIC PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA M STREHLE PT (PHYSICAL THERAPIST)
(208) 743-1795
Entity
Organization
Contact information
Practice address
1023 21ST ST, LEWISTON, ID 83501-3415
(208) 743-1795
(208) 743-1791
Mailing address
1023 21ST ST, LEWISTON, ID 83501-3415
(208) 743-1795
(208) 743-1791
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
PT-1861
ID
Other
Enumeration date
03/06/2015
Last updated
12/21/2020
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