Palouse Ridge Occupational Therapy Pllc

NPI #1609518166 in Potlatch, Idaho

Provider Information

NPI Number
1609518166
Entity Type
Organization
Organization Name
Palouse Ridge Occupational Therapy Pllc
Primary Specialty
Occupational Therapist - Pediatrics
Enumeration Date
Apr 13, 2022
Last Updated
Apr 13, 2022

Practice Location

Address
510 ELM ST
State
Idaho
ZIP Code
83855
Phone
(208) 669-3186

Authorized Official

Name
AMANDA BLACK
Title
OCCUPATIONAL THERAPIST
Phone
(208) 669-3186

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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