Organization
EAGLE ROCK PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB BENJAMIN ROBERTS DPT (PHYSICAL THERAPIST)
(208) 521-7336
Entity
Organization
Contact information
Practice address
1510 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 522-7627
(208) 524-6300
Mailing address
1510 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 522-7627
(208) 524-6300
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT-2217
ID
Other
Enumeration date
10/23/2007
Last updated
04/19/2021
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