BAILEY LEIGH PORTER

IDAHO FALLS, ID
NPI1124530563
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-1288)
Enumeration Date2017-10-25
Last Update Date2018-03-17
Business Address
MRS. BAILEY LEIGH PORTER MSOT, OTR/L
2840 CHANNING WAY STE 100
IDAHO FALLS, ID 83404-7529
Phone number: 208-529-7924
Mailing Address
MRS. BAILEY LEIGH PORTER MSOT, OTR/L
2840 CHANNING WAY STE 100
IDAHO FALLS, ID 83404-7529
Phone number: