Practice Partners, LLC

NPI #1982922043 in Ammon, Idaho

Provider Information

NPI Number
1982922043
Entity Type
Organization
Organization Name
Practice Partners, LLC
Primary Specialty
Occupational Therapist - Pediatrics
Enumeration Date
May 12, 2010
Last Updated
May 12, 2010

Practice Location

Address
4185 BIRCHWOOD CIR
City
Ammon
State
Idaho
ZIP Code
83406-4648
Phone
(208) 528-8599

Authorized Official

Name
MRS. TOMI NICHOLE SMITH
Title
PRESIDENT
Phone
(208) 528-8599

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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