| NPI | 1710960463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA TAFT Owner/President 208-664-2901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2011-06-23 |