LISA D BOGGS

GOODING, ID
NPI1225373939
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT335)
Enumeration Date2012-12-06
Last Update Date2012-12-06
Business Address
-- LISA D BOGGS OTRL
1220 MONTANA ST
GOODING, ID 83330-1856
Phone number: 208-934-5601
Mailing Address
-- LISA D BOGGS OTRL
880 E 2700 S
HAGERMAN, ID 83332-5602
Phone number: 208-358-1373
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