Ami Owen Pllc

NPI #1275262727 in Star, Idaho

Provider Information

NPI Number: 1275262727
Entity Type: Organization
Organization Name: Ami Owen Pllc
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 9, 2022
Last Updated: Mar 5, 2024

Practice Location

Address: 2121 N GARNET CREEK AVE
City: Star
State: Idaho
ZIP Code: 83669-8001
Phone: (208) 740-0544

Authorized Official

Name: AMI OWEN
Title: OWNER
Phone: (208) 740-0544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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