Camp Hippo Pediatric Therapy Llc.

NPI #1902084833 in Blackfoot, Idaho

Provider Information

NPI Number: 1902084833
Entity Type: Organization
Organization Name: Camp Hippo Pediatric Therapy Llc.
Primary Specialty: Clinic/Center - Multi-Specialty
Enumeration Date: Feb 1, 2008
Last Updated: Feb 1, 2008

Practice Location

Address: 7 N 600 W
City: Blackfoot
State: Idaho
ZIP Code: 83221-5533
Phone: (208) 782-2267

Authorized Official

Name: MRS. BETTY C. JAQUES, OTR/L
Title: OCCUPATIONAL THERAPIST/OWNER
Phone: (208) 782-2267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X	Primary

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