# UNBOUND OT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104613728
- **Authorized official:** DR. REBECCA MARKES WILLSON OTR/L, OTD, MOT, ATP (OWNER)
- **Authorized official phone:** (972) 832-8734

## Contact information

- **Practice address:** 617 E BURDOCK LOOP, HAYDEN, ID 83835-7977
- **Practice address phone:** (972) 832-8734
- **Mailing address:** 617 E BURDOCK LOOP, HAYDEN, ID 83835-7977
- **Mailing address phone:** (972) 832-8734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 225XE0001X | Environmental Modification Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2025
- **Last updated:** 07/14/2026