SHAWN SOREN

MERIDIAN, ID
NPI1225493950
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  1555)
Additional Taxonomies225XP0200X Occupational Therapist, Pediatrics
(Licence: ID  1555)
Enumeration Date2015-12-22
Last Update Date2015-12-22
Business Address
-- SHAWN SOREN M.S., O.T. R/L
68 S BALTIC PL
MERIDIAN, ID 83642-5935
Phone number: 208-587-8255
Mailing Address
-- SHAWN SOREN M.S., O.T. R/L
68 S BALTIC PL
MERIDIAN, ID 83642-5935
Phone number: 208-587-8255