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Organization
ELEMENTS OF WELLNESS AQUATIC AND MANUAL THERAPY INC.
Active
Organization
ELEMENTS OF WELLNESS AQUATIC AND MANUAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAYNA KATHLEEN WILLBANKS OTR/L (OCCUPATIONAL THERAPIST OWNER)
(208) 892-8888
Entity
Organization
Contact information
Practice address
872 TROY RD, SUITE 170, MOSCOW, ID 83843-4046
(208) 892-8888
(208) 882-8890
Mailing address
872 TROY RD, SUITE 170, MOSCOW, ID 83843-4046
(208) 892-8888
(208) 882-8890
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT-406
ID
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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