| NPI | 1225278484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE ANN LEWIS Occupational Therapist 208-870-9811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 831) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |