Organization
TABLE ROCK PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE ANNE MADDEN DPT (OWNER/PHYSICAL THERAPIST)
(208) 813-1330
Entity
Organization
Contact information
Practice address
6098 E GRAND PRAIRIE DR, BOISE, ID 83716-4700
(208) 813-1330
Mailing address
6098 E GRAND PRAIRIE DR, BOISE, ID 83716-4700
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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