Graduated: 2024
NPI: 1396561668
Practice Locations (2)
MOUNTAIN LAND REHABILITATION LLC
5251 E EXCHANGE WAY
NAMPA, ID 836875507
2084669642
MOUNTAIN LAND REHABILITATION LLC
433 W 12TH ST
OGDEN, UT 844045506
8017820300
Source: CMS National Downloadable File, September 2026.