| Porgy And Petunia Pediatric Therapy | |
|
7 Riggan Lane Salmon ID 83467-4301 | |
| (484) 388-9729 | |
| (484) 388-9729 |
| Full Name | Porgy And Petunia Pediatric Therapy |
|---|---|
| Speciality | Clinic/center |
| Location | 7 Riggan Lane, Salmon, Idaho |
| Authorized Official Name and Position | Georgena Yanoff (OWNER) |
| Authorized Official Contact | 4843889729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Porgy And Petunia Pediatric Therapy 516 Main St Salmon ID 83467-4219 Ph: (484) 388-9729 | Porgy And Petunia Pediatric Therapy 7 Riggan Lane Salmon ID 83467-4301 Ph: (484) 388-9729 |
| NPI Number | 1568973436 |
|---|---|
| Provider Enumeration Date | 10/18/2017 |
| Last Update Date | 10/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568973436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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