OrganizationActive
Unbound OT
NPI 1104613728 · Environmental Modification Occupational Therapist · Hayden, ID
Provider details
- NPI number
- 1104613728
- Entity type
- Organization
- Primary specialty
- Environmental Modification Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Rebecca Willson, Owner(972) 832-8734
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
617 E Burdock Loop
Hayden, ID 83835-7977
Phone: (972) 832-8734
Approximate (ZIP-level) locationGet directions
Mailing address
617 E Burdock Loop
Hayden, ID 83835-7977
Registry dates
- Enumerated
- 2025-04-24
- Last updated
- 2025-05-01
- Certified
- 2025-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.