Organization
AMI OWEN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMI OWEN (OWNER)
(208) 740-0544
Entity
Organization
Contact information
Practice address
2121 N GARNET CREEK AVE, STAR, ID 83669-8001
(208) 740-0544
(208) 906-8680
Mailing address
4921 W EAGLE LANDING CT, EAGLE, ID 83616-5055
(208) 740-0544
(208) 906-8680
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
06/09/2022
Last updated
03/05/2024
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