Organization
THERAPY CONNECTION
Active
Organization
THERAPY CONNECTION
Active
Parent organization
REHABAUTHORITY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REHABAUTHORITY LLC
Authorized official
LYNN R JOHNSON PT, LAT (PRESIDENT)
(208) 337-5346
Entity
Organization
Contact information
Practice address
1611 N WHITLEY DR, UNIT 1A, FRUITLAND, ID 83619-2177
(208) 452-0021
(208) 452-0019
Mailing address
1560 S CAROL ST, MERIDIAN, ID 83646-1839
(208) 288-1155
(208) 288-0424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-178
ID
Other
Enumeration date
02/20/2013
Last updated
06/10/2013
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