Organization
IDAHO HAND & UPPER EXTREMITY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SWIDER OTR/L, CHT (OWNER)
(208) 651-4551
Entity
Organization
Contact information
Practice address
920 W IRONWOOD DR STE 207, COEUR D ALENE, ID 83814-2643
(208) 651-4551
Mailing address
PO BOX 3482, POST FALLS, ID 83877-3482
(208) 651-4551
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT-705
ID
Other
Enumeration date
07/10/2010
Last updated
01/24/2011
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