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1063905487
SELENA BACH
SANDPOINT, ID
NPI
1063905487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-1865)
Enumeration Date
2018-06-11
Last Update Date
2022-06-27
Business Address
SELENA BACH OT
1905 PINE ST
SANDPOINT, ID 83864-8311
Phone number: 208-263-7998
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Mailing Address
SELENA BACH OT
1905 PINE ST
SANDPOINT, ID 83864-8311
Phone number: 208-610-8671
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