| NPI | 1154693364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE ROWE Owner 208-375-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-709) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-1860) |
| 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-1992) | |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2023-02-01 |