Organization
OMNI KIDS
Active
Organization
OMNI KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLIE HOHWIELER OTD, OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(208) 705-2338
Entity
Organization
Contact information
Practice address
1505 MADRONA ST N # 1000, TWIN FALLS, ID 83301-8318
(208) 705-2338
Mailing address
1579 CREEK STONE CIR, TWIN FALLS, ID 83301-5887
(208) 705-2338
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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