Odyssey Pediatric Therapy Specialists, LLC

NPI #1043949696 in Nampa, Idaho

Provider Information

NPI Number: 1043949696
Entity Type: Organization
Organization Name: Odyssey Pediatric Therapy Specialists, LLC
Primary Specialty: Occupational Therapist - Pediatrics
Enumeration Date: Jun 8, 2022
Last Updated: Jun 30, 2022

Practice Location

Address: 1031 W SANETTA ST
City: Nampa
State: Idaho
ZIP Code: 83651-5047
Phone: (208) 910-2360

Authorized Official

Name: DEREK BAWDEN, MOT, OTR/L
Title: OWNER
Phone: (801) 815-4105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist - Feeding, Eating & Swallowing — Feeding, Eating & Swallowing	225XF0002X
Speech-Language Pathologist	235Z00000X
Occupational Therapy Assistant	224Z00000X
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X	Primary

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