| NPI | 1629288923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS JAMES NEWTON President 208-539-2784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT618) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |