| NPI | 1063083830 |
|---|---|
| Doing Business As | HI-LINE PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | JOHANNA EGGLESTON President/Ot 208-881-8362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2023-02-21 |