| NPI | 1679778286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE KYTLE SEARGENT Owner 208-529-3358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT009) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2012-01-11 |