| NPI | 1285133017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CRAIG Provider, Owner 208-908-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-1345) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |