Organization
TREASURE VALLEY REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOYD S RICKS OTR/L, DPT (OWNER, THERAPIST)
(208) 695-6688
Entity
Organization
Contact information
Practice address
524 CLEVELAND BLVD STE 110, CALDWELL, ID 83605-4079
(208) 695-6688
Mailing address
524 E CLEVELAND BLVD STE 110, CALDWELL, ID 83605
(208) 695-6688
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-2172
ID
225X00000X
Occupational Therapist
OT-810
ID
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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