Organization
NORTHWEST PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM STRONG CCC-SLP (CO-OWNER)
(208) 298-7670
Entity
Organization
Contact information
Practice address
1130 W HAYDEN AVE #103, HAYDEN, ID 83835
(208) 450-2094
(208) 908-0044
Mailing address
1130 W HAYDEN AVE #103, HAYDEN, ID 83835
(208) 450-2094
(208) 908-0044
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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