| NPI | 1548882624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI ELLEN LEWIS Occupational Therapist, Owner 208-659-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |