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Organization
ADVANCED THERAPY CARE PLLC
Active
Organization
ADVANCED THERAPY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RACHELLE OWSLEY RUFFING MS CCC SLP (MEMBER)
(208) 587-8255
Entity
Organization
Contact information
Practice address
245 N 3RD E, MOUNTAIN HOME, ID 83647-2734
(208) 587-8255
(208) 587-4475
Mailing address
PO BOX 603, 245 NORTH THIRD EAST AVE., MOUNTAIN HOME, ID 83647-0603
(208) 587-8255
(208) 587-4475
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SLP1211
ID
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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