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Organization

THERAPY FOR LIFE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRAD ARCHIBALD OTR (OWNER)
(208) 351-0651
Entity
Organization

Contact information

Practice address
4893 CAMAS CREEK CIRCLE, IONA, ID 83427
(208) 351-0651
(208) 528-0989
Mailing address
P.O. BOX 354, IONA, ID 83427
(208) 351-0651
(208) 528-0989

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-637
ID

Other

Enumeration date
03/16/2007
Last updated
08/22/2020
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