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Organization

DESTINATION OCCUPATIONAL THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL EDWARD WILLIAMS MOTR/L (OWNER)
(509) 481-8694
Entity
Organization

Contact information

Practice address
3583 N MCMULLEN DR, POST FALLS, ID 83854-0050
(509) 481-8694
Mailing address
3583 N MCMULLEN DR, POST FALLS, ID 83854-0050
(509) 481-8694

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
12/18/2020
Last updated
01/15/2021
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