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1124530563
BAILEY LEIGH PORTER
IDAHO FALLS, ID
NPI
1124530563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-1288)
Enumeration Date
2017-10-25
Last Update Date
2018-03-17
Business Address
MRS. BAILEY LEIGH PORTER MSOT, OTR/L
2840 CHANNING WAY STE 100
IDAHO FALLS, ID 83404-7529
Phone number: 208-529-7924
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Mailing Address
MRS. BAILEY LEIGH PORTER MSOT, OTR/L
2840 CHANNING WAY STE 100
IDAHO FALLS, ID 83404-7529
Phone number:
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