Organization
CSRM LLC
Active
Parent organization
CSRM LLC
Other names
Kestrel Therapy Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
CSRM LLC
Authorized official
RONALD DALE MILLER (OWNER)
(208) 377-3850
Entity
Organization
Contact information
Practice address
4842 N CORTONA WAY STE 100, MERIDIAN, ID 83646-3171
(208) 888-8306
Mailing address
7979 W RIFLEMAN ST STE 200, BOISE, ID 83704-9066
(208) 377-3850
(208) 369-9272
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
09/19/2022
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