| NPI | 1083439251 |
|---|---|
| Doing Business As | NEURO CLINIC IDAHO |
| Entity Type | Organization |
| Authorized Contact | ARIEL PODJUN Occupational Therapist 307-389-7509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251N0400X Physical Therapist, Neurology | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-24 |