TYLER EARL

BURLEY, ID
NPI1033654900
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-1278)
Enumeration Date2016-12-30
Last Update Date2016-12-30
Business Address
-- TYLER EARL COTA/L
2303 PARK AVE
BURLEY, ID 83318-2106
Phone number: 208-677-3073
Mailing Address
-- TYLER EARL COTA/L
2303 PARK AVE
BURLEY, ID 83318-2106
Phone number: 208-677-3073
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