| NPI | 1184972184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY ADAMS Co Owner 208-762-3502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2012-08-22 |