Foundations Pediatric Therapy Pllc

NPI #1295339620 in Middleton, Idaho

Provider Information

NPI Number
1295339620
Entity Type
Organization
Organization Name
Foundations Pediatric Therapy Pllc
Primary Specialty
Occupational Therapist - Pediatrics
Enumeration Date
Nov 25, 2020
Last Updated
Apr 2, 2021

Practice Location

Address
316 E 1ST ST
State
Idaho
ZIP Code
83644
Phone
(208) 654-6161

Authorized Official

Name
TIFFANY POLLOCK, OTR/L
Title
OWNER / THERAPIST
Phone
(208) 651-6161

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - Feeding, Eating & SwallowingFeeding, Eating & Swallowing
Occupational Therapist - PediatricsPediatrics

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