| NPI | 1295339620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY POLLOCK Owner / Therapist 208-651-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2021-04-02 |