Organization
FORZA PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK NORTHRUP MSPT (PHYSICAL THERAPIST)
(208) 221-6952
Entity
Organization
Contact information
Practice address
605 TAYLOR LN, CHUBBUCK, ID 83202-5169
(208) 221-6952
(844) 946-0909
Mailing address
605 TAYLOR LN, CHUBBUCK, ID 83202-5169
(208) 221-6952
(844) 946-0909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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