| NPI | 1851653901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY S RUBY Occupational Therapist/Owner 208-595-4941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: ID OT 242) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2017-12-11 |