Organization
PEAKS TO PLAINS THERAPY SERVICES, PA
Active
Other names
Peaks to Plains Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LANE OLSON OTR/L (PRESIDENT)
(208) 589-9578
Entity
Organization
Contact information
Practice address
165 FRONT ST, DRIGGS, ID 83422-5445
(208) 589-0807
(208) 542-9577
Mailing address
3750 FOUNDERS POINTE DR, AMMON, ID 83406-5092
(208) 589-0807
(208) 542-9577
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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