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Organization

BLUEBIRD HOLISTIC THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANA MARIE MONTGOMERY OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(208) 551-1575
Entity
Organization

Contact information

Practice address
311 E COEUR D ALENE AVE STE C UNIT 9, COEUR D ALENE, ID 83814-4965
(208) 551-1575
Mailing address
12208 N DIAMOND DR, HAYDEN, ID 83835-7909

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
02/25/2026
Last updated
03/31/2026
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