Organization
HANDS ON DIAGNOSTICS OF IDAHO, PLLC
Active
Parent organization
MCDONALD REHAB, PC
Other names
Superior Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCDONALD REHAB, PC
Authorized official
BART W MCDONALD MPT (OWNER)
(208) 233-2248
Entity
Organization
Contact information
Practice address
1800 FLANDRO DR STE 190, POCATELLO, ID 83202-4940
(208) 233-2248
Mailing address
723 REDMAN ST, POCATELLO, ID 83202-2673
(208) 233-2248
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
12/21/2017
Last updated
03/17/2018
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