# SUPERSTARS OCCUPATIONAL THERAPY FOR KIDS

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

## Provider details

- **NPI number:** 1508267915
- **Authorized official:** CURTIS JOHNSON (OFFICE MANAGER)
- **Authorized official phone:** (208) 457-8072

## Contact information

- **Practice address:** 2422 PARTRIDGE LOOP, POST FALLS, ID 83854-4944
- **Practice address phone:** (208) 819-9362
- **Mailing address:** 2422 PARTRIDGE LOOP, POST FALLS, ID 83854-4944
- **Mailing address phone:** (208) 457-8072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 283XC2000X | Children's Rehabilitation Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 09/05/2014
- **Last updated:** 09/05/2014