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Organization

CAMP HIPPO PEDIATRIC THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MORGEN TAYLER STOTT MOTR/L (OCCUPATIONAL THERAPIST)
(208) 782-2267
Entity
Organization

Contact information

Practice address
7 N 600 W, BLACKFOOT, ID 83221-5533
(208) 782-2267
Mailing address
7 N 600 W, BLACKFOOT, ID 83221-5533
(208) 782-2267

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PTA 2406
ID
225X00000X
Occupational Therapist
Primary
OT 232
ID
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
12125357
ID

Other

Enumeration date
08/04/2008
Last updated
03/12/2025
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