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Organization
RAINBOW CHILDREN'S THERAPY
Active
Organization
RAINBOW CHILDREN'S THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN POLLOCK OTR/L (OCCUPATIONAL THERAPIST & OWNER)
(661) 623-1240
Entity
Organization
Contact information
Practice address
4524 GAP CREEK AVE, CALDWELL, ID 83607-5693
(661) 623-1240
Mailing address
4524 GAP CREEK AVE, CALDWELL, ID 83607-5693
(661) 623-1240
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/16/2021
Last updated
09/06/2023
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