ANTONIA MARIE JOSEPH

BOISE, ID
NPI1033847462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-2158)
Enumeration Date2022-08-12
Last Update Date2022-08-12
Business Address
ANTONIA MARIE JOSEPH COTA/L
1835 WILDWOOD ST
BOISE, ID 83713-5146
Phone number: 877-200-8152
Mailing Address
ANTONIA MARIE JOSEPH COTA/L
3949 S NORTHBRIDGE WAY
BOISE, ID 83706-5939
Phone number: 208-724-8202
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