| NPI | 1790639649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA MARIE MONTGOMERY Owner/Occupational Therapist 208-551-1575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2026-02-25 |
| Last Update Date | 2026-03-31 |