Organization
LINDLEY KESSLER PEDIATRIC OCCUPATIONAL THERAPY SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARRELL LINDLEY-KESSLER (OCCUPATIONAL THERAPIST)
(208) 631-7366
Entity
Organization
Contact information
Practice address
2811 W HEATHER PL, BOISE, ID 83702-1428
(208) 631-7366
Mailing address
2811 W HEATHER PL, BOISE, ID 83702-1428
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
ID
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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