Organization
LITTLE LEAF THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MILLER M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(208) 866-9183
Entity
Organization
Contact information
Practice address
16822 MEADOW LN, NAMPA, ID 83687-8430
(208) 866-9183
Mailing address
16822 MEADOW LN, NAMPA, ID 83687-8430
(208) 866-9183
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518549039
—
ID
Enumeration date
05/24/2021
Last updated
05/24/2021
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