GAYLE JOLEEN FOTHERGILL

COEUR D ALENE, ID
NPI1184882680
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-009)
Enumeration Date2008-05-30
Last Update Date2008-05-30
Business Address
-- GAYLE JOLEEN FOTHERGILL COTA/L
500 W AQUA AVE
COEUR D ALENE, ID 83815-7764
Phone number: 208-762-1122
Mailing Address
-- GAYLE JOLEEN FOTHERGILL COTA/L
500 W AQUA AVE
COEUR D ALENE, ID 83815-7764
Phone number: 208-762-1122
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