| NPI | 1649482118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN ELIZABETH BRADBURY VAN HOUTEN Owner 208-755-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT00004340) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2012-07-01 |