| NPI | 1285125203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN TAYLOR Owner / Provider 208-547-7145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ID SLP-1548) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XP0200X Occupational Therapist Pediatrics | |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2023-12-18 |