DANA BINGAMAN

BOISE, ID
NPI1184057663
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-1026)
Enumeration Date2013-08-19
Last Update Date2013-08-19
Business Address
-- DANA BINGAMAN COTA/L
3171 S BOWN WAY
BOISE, ID 83706-5665
Phone number: 208-433-9152
Mailing Address
-- DANA BINGAMAN COTA/L
3387 N CURT DR
MERIDIAN, ID 83646-5507
Phone number: 208-371-4402