Organization
FAR NORTH PEDIATRICS
Active
Organization
FAR NORTH PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNIE L MATHIAS MS, OTR/L (OCCUPATIONAL THERAPIST)
(505) 269-2325
Entity
Organization
Contact information
Practice address
2290 N CENTER VALLEY RD, SANDPOINT, ID 83864-8684
(505) 269-2325
(208) 441-2641
Mailing address
2290 N CENTER VALLEY RD, SANDPOINT, ID 83864-8684
(505) 269-2325
(208) 441-2641
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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