Calico Pediatric Therapy Center, LLC
NPI #1104102375 in Boise, Idaho
Provider Information
- NPI Number
- 1104102375
- Entity Type
- Organization
- Organization Name
- Calico Pediatric Therapy Center, LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Nov 1, 2011
- Last Updated
- Nov 1, 2011
Practice Location
Authorized Official
- Name
- KRISTIN K NEGILSKI, MS CCC-SLP
- Title
- OWNER
- Phone
- (208) 850-5804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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