Organization
PEAKS TO PLAINS THERAPY SERVICES, PA
Active
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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