Organization
NORTH IDAHO HAND REHABILITATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SWIDER OTR, CHT (OWNER THERAPIST)
(208) 765-3600
Entity
Organization
Contact information
Practice address
943 W IRONWOOD DR STE 100, COEUR D ALENE, ID 83814-4904
(208) 765-3600
Mailing address
PO BOX 3482, POST FALLS, ID 83877-3482
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT-705
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808521400
—
ID
Enumeration date
12/08/2006
Last updated
05/05/2010
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