Organization
ST. MARY'S HOSPITAL
Active
Other names
Grangeville Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA A UPTMOR (CHIEF BUSINESS SERVICES OFFICER)
(208) 962-2301
Entity
Organization
Contact information
Practice address
617 W NORTH ST, GRANGEVILLE, ID 83530-1239
(208) 983-2241
(208) 983-2766
Mailing address
617 W NORTH ST, GRANGEVILLE, ID 83530-1239
(208) 983-2241
(208) 983-2766
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/04/2009
Last updated
04/07/2015
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