Organization
UNBOUND OT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA WILLSON OTR, OTD, MOT, ATP (OWNER)
(972) 832-8734
Entity
Organization
Contact information
Practice address
617 E BURDOCK LOOP, HAYDEN, ID 83835-7977
(972) 832-8734
Mailing address
617 E BURDOCK LOOP, HAYDEN, ID 83835-7977
(972) 832-8734
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
05/01/2025
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