Organization
SUPERSTARS OCCUPATIONAL THERAPY FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS JOHNSON (OFFICE MANAGER)
(208) 457-8072
Entity
Organization
Contact information
Practice address
2422 PARTRIDGE LOOP, POST FALLS, ID 83854-4944
(208) 819-9362
Mailing address
2422 PARTRIDGE LOOP, POST FALLS, ID 83854-4944
(208) 457-8072
Taxonomy
Speciality
Code
Description
License number
State
283XC2000X
Children's Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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