IDAHO PEDIATRIC THERAPY CLINIC PLLC

Physical Therapist

Active Organization
NPI: 1194125617

Practice Address

3080 E GENTRY WAY STE 180
Meridian, ID 83642

Phone: (208) 939-3334

Specialties

Specialty Code Primary License
Occupational Therapist 225X00000X No OT-928 (ID)
Speech-Language Pathologist 235Z00000X No SLP-2249 (ID)
Physical Therapist 225100000X Yes PT-1450 (ID)

Frequently Asked Questions

NPI 1194125617 is the National Provider Identifier for IDAHO PEDIATRIC THERAPY CLINIC PLLC, a Physical Therapist provider located in Meridian, ID. This NPI was enumerated on September 3, 2014.

Quick Facts

NPI
1194125617
Type
Organization
Enumerated
Sep 3, 2014
Last Updated
Jul 9, 2019

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