NICHOLAS BACCIOCCO

TWIN FALLS, ID
NPI1104235720
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-1351)
Enumeration Date2014-08-07
Last Update Date2014-08-07
Business Address
-- NICHOLAS BACCIOCCO
1850 BITTERROOT DR
TWIN FALLS, ID 83301-3513
Phone number: 801-674-5752
Mailing Address
-- NICHOLAS BACCIOCCO
1850 BITTERROOT DR
TWIN FALLS, ID 83301-3513
Phone number: 801-674-5752
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