Firm Fouindations LLC
NPI #1821207580 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1821207580
- Entity Type
- Organization
- Organization Name
- Firm Fouindations LLC
- Primary Specialty
- Psychologist - Rehabilitation
- Enumeration Date
- May 21, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2496 MESA ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-3369
- Phone
- (208) 251-7885
Authorized Official
- Name
- JESSE PETERSON, MS
- Title
- CO-OWNER
- Phone
- (208) 251-7885
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Rehabilitation — Rehabilitation |
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