Organization
BOISE RIVER PHYSICAL THERAPY
Active
Other names
Boise River Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JON LINK PT, MPT, OCS, CSCS (OWNER)
(815) 540-6065
Entity
Organization
Contact information
Practice address
64 S STAR ROAD, SUITE 2, STAR, ID 83669
(815) 540-6065
(815) 380-6355
Mailing address
64 S STAR ROAD, SUITE 2, STAR, ID 83669
(815) 540-6065
(815) 380-6355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070011785
IL
Other
Enumeration date
06/01/2015
Last updated
07/14/2015
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