| NPI | 1528182912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRI ANNE SUTER Co Owner 208-734-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |