Organization
JOSHUA TREE PHYSICAL THERAPY PLLC
Active
Other names
Affordable Excellence in Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN JOHN SGROI P.T. (OWNER-OPERATOR)
(208) 772-9774
Entity
Organization
Contact information
Practice address
8300 N WAYNE DR, HAYDEN, ID 83835-6027
(208) 772-9774
(208) 772-9564
Mailing address
8300 N WAYNE DR, HAYDEN, ID 83835-6027
(208) 772-9774
(208) 772-9564
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT1457
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807014300
—
ID
Enumeration date
08/14/2006
Last updated
01/11/2023
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