Healthcare Provider Details
I. General information
NPI: 1487580874
Provider Name (Legal Business Name): PATHS TO INDEPENDENCE OCCUPATIONAL THERAPY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1537 ADDISON AVE E
TWIN FALLS ID
83301-5342
US
IV. Provider business mailing address
4327 N 1224 E
BUHL ID
83316-5120
US
V. Phone/Fax
- Phone: 208-397-8916
- Fax:
- Phone: 208-397-8916
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAMANTHA
IRENE
HILL
Title or Position: OWNER/OCCUPATIONAL THERAPIST
Credential: OTR
Phone: 208-397-8916