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Organization
BOUNCE BACK OT LLC
Active
Organization
BOUNCE BACK OT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LAGERSTROM MOTL/R (OCCUPATIONAL THERAPIST)
(208) 356-3340
Entity
Organization
Contact information
Practice address
6070 S 2000 W, REXBURG, ID 83440-4441
(208) 356-3340
(833) 520-1454
Mailing address
6070 S 2000 W, REXBURG, ID 83440-4441
(208) 356-3340
(833) 520-1454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
12/19/2025
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