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Contact Information

PALOUSE RIDGE OCCUPATIONAL THERAPY PLLC
510 ELM ST
POTLATCH, ID83855
 Phone: 208-669-3186
 Fax: 208-747-0782
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for PALOUSE RIDGE OCCUPATIONAL THERAPY PLLC · (Female)

NPI # 1609518166
Status Active
Credentials
Entity Individual
Enumeration date 04/13/2022
Last updated 04/13/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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