| NPI | 1073397360 |
|---|---|
| Doing Business As | SOMA STORY OT |
| Entity Type | Organization |
| Authorized Contact | MARIE TREVISAN Owner 208-596-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |