CONNIE VANKLEECK

GOODING, ID
NPI1114343142
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-072)
Enumeration Date2014-03-14
Last Update Date2014-03-14
Business Address
-- CONNIE VANKLEECK OTR/L
1695 STATE HIGHWAY 46
GOODING, ID 83330-5116
Phone number: 208-539-4186
Mailing Address
-- CONNIE VANKLEECK OTR/L
1695 STATE HIGHWAY 46
GOODING, ID 83330-5116
Phone number: 208-539-4186