Organization
MOBILE REHAB GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PHILLIP JOHNSON MPT (MEMBER)
(986) 224-8424
Entity
Organization
Contact information
Practice address
516 S WOODDALE PL, EAGLE, ID 83616-7713
(986) 224-8424
(208) 504-2821
Mailing address
516 S WOODDALE PL, EAGLE, ID 83616-7713
(986) 224-8424
(208) 504-2821
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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