Organization
ANSON CALL DPT INC
Active
Other names
Glenns Ferry Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANSON C CALL DPT (OWNER)
(208) 696-9711
Entity
Organization
Contact information
Practice address
486 W 1ST AVE, GLENNS FERRY, ID 83623-2701
(208) 696-9711
Mailing address
PO BOX 293, GLENNS FERRY, ID 83623-0293
(208) 201-9177
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073551560
—
ID
Enumeration date
08/28/2019
Last updated
10/02/2019
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