| NPI | 1821491424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A KING Owner 208-339-7234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-843) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-1398) |
| Enumeration Date | 2014-09-27 |
| Last Update Date | 2014-09-27 |