Pediatric Development Clinic

NPI #1326443607 in Idaho Falls, Idaho

Provider Information

NPI Number
1326443607
Entity Type
Organization
Organization Name
Pediatric Development Clinic
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Oct 28, 2014
Last Updated
Oct 28, 2014

Practice Location

Address
4846 WIND RIVER RD
State
Idaho
ZIP Code
83401-5828
Phone
(208) 339-7234

Authorized Official

Name
MR. JAMES A KING, MS, OTR/L
Title
PRESIDENT
Phone
(208) 339-7234

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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Provider Name
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Organizations

Provider Name
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