KRISTEN RUSSELL

BOISE, ID
NPI1013246669
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-094)
Enumeration Date2009-12-10
Last Update Date2009-12-10
Business Address
-- KRISTEN RUSSELL COTA/L
3169 S BOWN WAY
BOISE, ID 83706-5400
Phone number: 208-433-9152
Mailing Address
-- KRISTEN RUSSELL COTA/L
3169 S BOWN WAY
BOISE, ID 83706-5400
Phone number: 208-433-9152