Organization
IDAHO FALLS HAND THERAPY LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LANG (PRESIDENT OF GENERAL PARTNER)
(713) 572-9000
Entity
Organization
Contact information
Practice address
564 S WOODRUFF AVENUE, IDAHO FALLS, ID 83401
(208) 523-7571
(208) 523-7573
Mailing address
5120 WOODWAY DR STE 10001, HOUSTON, TX 77056-1792
(713) 572-9000
(713) 572-9001
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
ID
Other
Enumeration date
04/05/2018
Last updated
06/15/2018
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