TYLER JAMES HOLLOWAY

NAMPA, ID
NPI1053926816
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: ID  OT-2206)
Enumeration Date2020-09-09
Last Update Date2020-09-09
Business Address
TYLER JAMES HOLLOWAY OTR/L
16171 N BRINSON ST
NAMPA, ID 83687-5509
Phone number: 208-442-2525
Mailing Address
TYLER JAMES HOLLOWAY OTR/L
16171 N BRINSON ST
NAMPA, ID 83687-5509
Phone number: 208-442-2525
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