Organization
PROFESSIONAL REHABILITATION NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOAH MILLER PT (OWNER PRESIDENT)
(208) 539-4776
Entity
Organization
Contact information
Practice address
319 8TH AVE N, TWIN FALLS, ID 83301-6351
(208) 539-4776
Mailing address
319 8TH AVE N, TWIN FALLS, ID 83301-6351
(208) 539-4776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT-1361
ID
Other
Enumeration date
05/23/2007
Last updated
07/08/2008
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