Organization
RESTORE PHYSICAL THERAPY PC
Active
Organization
RESTORE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH GRAHAM P.T. (OWNER)
(208) 501-8264
Entity
Organization
Contact information
Practice address
5418 N EAGLE RD, SUITE 170, BOISE, ID 83713-0998
(208) 501-8264
(208) 514-1558
Mailing address
5418 N EAGLE RD, SUITE 170, BOISE, ID 83713-0998
(208) 939-3332
(208) 939-3338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1804
ID
Other
Enumeration date
10/17/2016
Last updated
01/10/2024
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