Organization
CHILDREN'S THERAPY PLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE COSTA (ACCOUNTS MANAGER)
(208) 323-8888
Entity
Organization
Contact information
Practice address
6855 W FAIRVIEW AVE, BOISE, ID 83704-8046
(208) 323-8888
(208) 323-8889
Mailing address
6855 W FAIRVIEW AVE, BOISE, ID 83704-8046
(208) 323-8888
(208) 323-8889
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1259
ID
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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