JEAN VERGILIO

COEUR D ALENE, ID
NPI1033547286
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-1101)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: WA  OC60131997)
Enumeration Date2013-10-25
Last Update Date2013-10-25
Business Address
-- JEAN VERGILIO
210 W LACROSSE AVE
COEUR D ALENE, ID 83814-2403
Phone number: 208-664-6520
Mailing Address
-- JEAN VERGILIO
210 W. LACROSSE AVE.
COEUR D' ALENE, ID 83814
Phone number: 208-664-6520