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 |