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Organization

NORTH IDAHO HAND REHABILITATION, PLLC

Active
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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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