JORGE LUIS SANTIAGO

COEUR D ALENE, ID
NPI1114629318
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225XH1200X Occupational Therapist, Hand
(Licence: WA  OT61396051)
Enumeration Date2023-03-20
Last Update Date2023-03-20
Business Address
JORGE LUIS SANTIAGO OTR/L
1812 N LAKEWOOD DR STE 100
COEUR D ALENE, ID 83814-2635
Phone number: 208-966-4476
Mailing Address
JORGE LUIS SANTIAGO OTR/L
1812 N LAKEWOOD DR STE 100
COEUR D ALENE, ID 83814-2635
Phone number: 208-966-4476