Organization
THERAPY WORKS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACLYN ANN CHAVEZ OTR/L (OWNER)
(208) 503-2194
Entity
Organization
Contact information
Practice address
3600 COUNTRY CLUB DR, LEWISTON, ID 83501-9621
(208) 503-2194
Mailing address
3600 COUNTRY CLUB DR, LEWISTON, ID 83501-9621
(208) 503-2194
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-768
ID
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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