KATHRYN BRODERIUS

MIDDLETON, ID
NPI1154074508
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-2455)
Additional Taxonomies225XP0200X Occupational Therapist, Pediatrics
(Licence: ID  OT-2455)
Enumeration Date2022-01-26
Last Update Date2022-01-26
Business Address
Mrs. KATHRYN BRODERIUS MOT
316 E 1ST ST
MIDDLETON, ID 83644-6159
Phone number: 208-654-6161
Mailing Address
Mrs. KATHRYN BRODERIUS MOT
3700 E DOWNS AVE
NAMPA, ID 83686-1385
Phone number: