| NPI | 1184559031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY H WILLIS Occupational Therapist 208-604-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 225XR0403X Occupational Therapist, Driving and Community Mobility | |
| 225100000X Physical Therapist | |
| 225XE0001X Occupational Therapist, Environmental Modification | |
| 225XE1200X Occupational Therapist, Ergonomics | |
| 225XG0600X Occupational Therapist, Gerontology | |
| 225XH1300X Occupational Therapist, Human Factors | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2026-06-15 |
| Last Update Date | 2026-06-15 |