Organization
IDAHO OUTPATIENT REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHRYSLER (OWNER)
(208) 665-1839
Entity
Organization
Contact information
Practice address
2190 IRONWOOD PL, SUITE B, COEUR D ALENE, ID 83814-2610
(208) 665-1839
(208) 665-0571
Mailing address
2190 IRONWOOD PL, SUITE B, COEUR D ALENE, ID 83814-2610
(208) 665-1839
(208) 665-0571
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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