TYSON TONY ROTHWELL

REXBURG, ID
NPI1184166886
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-1162)
Enumeration Date2016-11-11
Last Update Date2016-11-11
Business Address
Mr. TYSON TONY ROTHWELL MOTR/L
393 E 2ND N
REXBURG, ID 83440-1605
Phone number: 208-359-9570
Mailing Address
Mr. TYSON TONY ROTHWELL MOTR/L
393 E 2ND N
REXBURG, ID 83440-1605
Phone number: 208-359-9570