Ponderosa Pediatric Therapy LLC
NPI #1053062018 in Post Falls, Idaho
Provider Information
- NPI Number
- 1053062018
- Entity Type
- Organization
- Organization Name
- Ponderosa Pediatric Therapy LLC
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Jan 11, 2022
- Last Updated
- Jan 11, 2022
Practice Location
- Address
- 2738 N IVY LN
- City
- Post Falls
- State
- Idaho
- ZIP Code
- 83854-5459
- Phone
- (360) 839-1697
Authorized Official
- Name
- CORTNEY HUFF
- Title
- OWNER
- Phone
- (360) 839-1697
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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