Organization
PARMA PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC P GROW MPT (OWNER)
(208) 722-7350
Entity
Organization
Contact information
Practice address
206 N. 3RD STREET, PARMA, ID 83660-0171
(208) 850-8295
(208) 585-6768
Mailing address
P.O. BOX 171, 206 N 3RD STREET, PARMA, ID 83660
(208) 722-7350
(208) 722-7351
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2800
ID
Other
Enumeration date
04/22/2015
Last updated
06/04/2015
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