Organization
IDAHO PHYSICAL REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA OSBORNE PT (OWNER)
(208) 794-6869
Entity
Organization
Contact information
Practice address
300 STIBNITE AVE UNIT 1, MCCALL, ID 83638-4407
(800) 588-2539
(208) 329-5807
Mailing address
100 N 3RD ST, MCCALL, ID 83638-4401
(800) 588-2539
(208) 329-5807
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
02/11/2025
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