Organization
RESTORE TELETHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY BRIANA ALLING M.A., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(208) 471-4069
Entity
Organization
Contact information
Practice address
8546 N CLOVERLEAF DR, HAYDEN, ID 83835-8259
(208) 471-4069
Mailing address
PO BOX 3567, HAYDEN, ID 83835-3567
(208) 471-4069
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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