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1063889681
LISA HARTIGAN
BOISE, ID
NPI
1063889681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: ID OT-757)
Enumeration Date
2015-08-31
Last Update Date
2015-08-31
Business Address
-- LISA HARTIGAN OT
267 E SCHMEIZER LN
BOISE, ID 83706-4025
Phone number: 208-587-0921
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Mailing Address
-- LISA HARTIGAN OT
267 E SCHMEIZER LN
BOISE, ID 83706-4025
Phone number: 208-587-0921
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