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IDAHO PHYSICAL MEDICINE AND REHABILITATION PA

Adult Day Care

OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
MERIDIAN, ID
Licensed since
2007
Rate
Federal identifiers
NPI registry number1497949705
Agency details
Parent orgIDAHO PHYSICIAL MEDICINE AND REHABILITATION
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients370
Authorized official
NameKATE SHELTON
TitleADMINISTRATOR
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