Drake Rehabilitation Outcomes PLLC
Physical Medicine & Rehabilitation, Pain Medicine in Post Falls, ID. Organization (NPI-2).
NPI number1639749534
StatusActive
Last updated in NPPESJul 1, 2021
Details
- NPI
- 1639749534
- Entity type
- Organization (NPI-2)
- Legal business name
- Drake Rehabilitation Outcomes PLLC
- Organization subpart
- No
- Enumeration date
- Jul 1, 2021
- Certification date
- Jul 1, 2021
- Last updated
- Jul 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – | Yes |
Practice location
3372 E JenalanPost Falls, ID 83854-7787
Phone 208-761-3080
Mailing address
2656 S Harmony AveBoise, ID 83706-5053
Phone 208-761-3080
Authorized official
Grant Drake
Owner/Provider
2087613080
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