| NPI | 1700336039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARRELL LINDLEY-KESSLER Occupational Therapist 208-631-7366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |