Organization
ST. LUKE'S MAGIC VALLEY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RENEE THOMAS OTR/L, CLT (OCCUPATIONAL THERAPIST)
(612) 245-9117
Entity
Organization
Contact information
Practice address
775 POLE LINE RD W, TWIN FALLS, ID 83301-5814
(208) 814-2570
Mailing address
775 POLE LINE RD W, TWIN FALLS, ID 83301-5814
(208) 814-2570
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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