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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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