Organization
PONDEROSA PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORTNEY HUFF (OWNER)
(360) 839-1697
Entity
Organization
Contact information
Practice address
2738 N IVY LN, POST FALLS, ID 83854-5459
(360) 839-1697
Mailing address
2738 N IVY LN, POST FALLS, ID 83854-5459
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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