| NPI | 1235461732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M DICKENS Sole Member/Ot 208-467-9117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-663) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |