Therapy For Life

NPI 1225162597 - Occupational Therapist - 225X00000X

NPI Details
NPI 1225162597
Enumeration Date 03/16/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRAD BRAD
Position OWNER
Phone (208) 351-0651
Fax (208) 528-0989
Practice Location
4893 CAMAS CREEK CIRCLE
IONA ID, 83427, US
Phone (208) 351-0651
Fax (208) 528-0989
Business Location
P.O. BOX 354
IONA ID, 83427, US
Phone (208) 351-0651
Fax (208) 528-0989
Toxanomy
Taxonomy Code 225X00000X
License State Idaho
License Number OT-637
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According to our database, Therapy For Life NPI is 1225162597, taxonomy code is 225X00000X and license number is OT-637, license state is located at Idaho. Therapy For Life physically located at 4893 Camas Creek Circle, Iona ID, 83427. NPI Number 1033115704 has the healthcare provider type.

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1225162597 NPI number is provided on an as is basis without warranty of any kind. 1225162597 is maintained by the National Plan & Provider Enumeration System. The contents of Therapy For Life are for informational purposes only.