IndividualActive
Lucinda Dimaggio, BIS
NPI 1205667300 · Developmental Therapist · Osburn, ID
Provider details
- NPI number
- 1205667300
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- BIS
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1257 E Mullan Ave
Osburn, ID 83849-0820
Phone: (208) 964-3073
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1155
Osburn, ID 83849-1155
Registry dates
- Enumerated
- 2024-08-09
- Last updated
- 2024-08-09
- Certified
- 2024-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.