Organization
CSRM LLC
Active
Other names
Kestrel Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD DALE MILLER JR. (OWNER)
(208) 377-3850
Entity
Organization
Contact information
Practice address
7979 W RIFLEMAN ST STE 200, BOISE, ID 83704-9066
(208) 377-3850
Mailing address
7979 W RIFLEMAN ST STE 200, BOISE, ID 83704-9066
(208) 377-3850
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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