Boise Outdoor Ot - Occupational Therapist in Garden City, ID

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Boise Outdoor Ot is a Occupational Therapist - Pediatrics based in Garden City, Idaho. Boise Outdoor Ot is licensed to practice in * (Not Available) (license number ) and their current practice location is 522 E 40th St, Garden City, Idaho. It can be reached at their office (for appointments etc.) via phone at (323) 640-2305.

NPI number for Boise Outdoor Ot is 1619643590 and their current mailing address is 522 E 40th St, Garden City, Idaho. Boise Outdoor Ot does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1619643590.

Contact Information

Boise Outdoor Ot
522 E 40th St,
Garden City, ID 83714-6358
(323) 640-2305
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBoise Outdoor Ot
TypeFacility
SpecialityOccupational Therapist - Pediatrics
Location522 E 40th St, Garden City, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619643590
  • Provider Enumeration Date: 08/19/2021
  • Last Update Date: 11/15/2021

Medical Identifiers

Medical identifiers for Boise Outdoor Ot such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619643590NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Boise Outdoor Ot is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Boise Outdoor Ot
522 E 40th St,
Garden City, ID 83714-6358

Ph: (323) 640-2305		Boise Outdoor Ot
522 E 40th St,
Garden City, ID 83714-6358

Ph: (323) 640-2305

Reviews and Comments


Occupational Therapist in Garden City, ID


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