Organization
RS PHYSICAL THERAPY PC
Active
Other names
Rebound Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL LANGLEY PT (OWNER)
(208) 939-3332
Entity
Organization
Contact information
Practice address
2204 E LANARK ST STE 100, MERIDIAN, ID 83642-5916
(208) 908-7907
(208) 908-7935
Mailing address
457 S FITNESS PL STE 100, EAGLE, ID 83616-6568
(208) 939-3332
(208) 939-3338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
11/12/2020
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