| NPI | 1528846557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM STRONG Co Owner 208-298-7670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |