# ADA THERAPY SERVICES PLLC

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

## Provider details

- **NPI number:** 1285133017
- **Authorized official:** AMANDA CRAIG OT (PROVIDER, OWNER)
- **Authorized official phone:** (208) 908-6116

## Contact information

- **Practice address:** 4696 W OVERLAND RD STE 232, BOISE, ID 83705-2864
- **Practice address phone:** (208) 908-6116
- **Practice address fax:** (208) 908-0486
- **Mailing address:** 4696 W OVERLAND RD STE 232, BOISE, ID 83705-2864
- **Mailing address phone:** (208) 908-6116
- **Mailing address fax:** (208) 908-0486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OT-1345 | ID | Yes |

## Other

- **Enumeration date:** 02/07/2018
- **Last updated:** 02/07/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | OT-1345 | STATE LICENSE | ID |