Organization
SENSORY BIN PEDIATRIC THERAPY CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MOROGE (MANAGER, OWNER)
(208) 954-0263
Entity
Organization
Contact information
Practice address
895 E STATE ST, EAGLE, ID 83616-6003
(208) 860-6229
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-640
ID
Other
Enumeration date
01/31/2012
Last updated
06/06/2023
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