Organization
TIMBER RIDGE INDUSTRIAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER A STODDARD DPT, OTR/L (OWNER)
(208) 818-7404
Entity
Organization
Contact information
Practice address
610 HUBBARD AVE STE 226, COEUR D'ALENE, ID 83814
(208) 818-7404
Mailing address
31200 N RED FIR RD, ATHOL, ID 83801-3100
(208) 567-9508
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
04/04/2020
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