# VALLEY REHAB OF IDAHO INC

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

## Provider details

- **NPI number:** 1366102063
- **Authorized official:** STEVEN J DEVILBISS (OWNER)
- **Authorized official phone:** (916) 209-0235

## Contact information

- **Practice address:** 582 E BOISE AVE \# 1011, BOISE, ID 83706-5116
- **Practice address phone:** (916) 209-0235
- **Mailing address:** 582 E BOISE AVE \# 1011, BOISE, ID 83706-5116
- **Mailing address phone:** (916) 209-0235

## Taxonomy

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

## Other

- **Enumeration date:** 12/21/2021
- **Last updated:** 12/21/2021