Organization
CDA PT AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ARMSTRONG PT (CEO)
(208) 659-1674
Entity
Organization
Contact information
Practice address
3576 S TIMOTHY LN, COEUR D ALENE, ID 83814-7576
(208) 659-1674
Mailing address
3576 S TIMOTHY LN, COEUR D ALENE, ID 83814-7576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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