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Organization
HAND CRAFTED THERAPY, PLLC
Active
Organization
HAND CRAFTED THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN SUE GRAYBILL OTR/L, CLT (OWNER)
(208) 568-1983
Entity
Organization
Contact information
Practice address
606 N FIFTH AVE, SANDPOINT, ID 83864-1520
(208) 568-1983
(208) 667-2119
Mailing address
PO BOX 822, SAGLE, ID 83860-0822
(208) 568-1983
(208) 568-1983
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
261QR0400X
Rehabilitation Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004389
OT LICENSE
CO
Enumeration date
06/06/2017
Last updated
07/25/2022
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