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Organization
OCCUPATIONAL THERAPY UNLIMITED, LLC
Active
Organization
OCCUPATIONAL THERAPY UNLIMITED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA CHEYENNE ENRICO MOTR/L (OWNER)
(208) 709-2911
Entity
Organization
Contact information
Practice address
30 E LITTLE AVE, DRIGGS, ID 83422-5138
(208) 709-2911
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-835
ID
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881931319
—
ID
Enumeration date
01/03/2013
Last updated
03/07/2023
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