LISA SMALLWOOD

TWIN FALLS, ID
NPI1073970851
Former NameLISA WEHOFER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MT  OTP-OT-LIC-3996)
Enumeration Date2016-01-25
Last Update Date2024-02-16
Business Address
LISA SMALLWOOD OTR/L
1505 MADRONA ST N
TWIN FALLS, ID 83301-8318
Phone number: 719-659-1426
Mailing Address
LISA SMALLWOOD OTR/L
132 FILLMORE ST
TWIN FALLS, ID 83301-5206
Phone number:
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