Superstars Occupational Therapy for Kids, Pllc
NPI #1265698245 in Post Falls, Idaho
Provider Information
- NPI Number
- 1265698245
- Entity Type
- Organization
- Organization Name
- Superstars Occupational Therapy for Kids, Pllc
- Primary Specialty
- Occupational Therapist - Pediatrics
- Enumeration Date
- Jul 30, 2008
- Last Updated
- Jul 30, 2008
Practice Location
- Address
- 2422 N. PARTRIDGE LOOP
- City
- Post Falls
- State
- Idaho
- ZIP Code
- 83854-4944
- Phone
- (208) 819-9363
Authorized Official
- Name
- KELLY JOHNSON
- Title
- MANAGING MEMBER
- Phone
- (208) 819-9363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
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