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Organization
SENSORY BIN PEDIATRIC THERAPY CLINIC, PLLC
Active
Organization
SENSORY BIN PEDIATRIC THERAPY CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MOROGE (MANAGER, OWNER)
(208) 954-0263
Entity
Organization
Contact information
Practice address
895 E STATE ST, EAGLE, ID 83616-6003
(208) 860-6229
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-640
ID
Other
Enumeration date
01/31/2012
Last updated
06/06/2023
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