CHRISTINA OTTO

BOISE, ID
NPI1285820779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP1460)
Enumeration Date2007-09-19
Last Update Date2007-09-19
Business Address
-- CHRISTINA OTTO MACCC, SLP
890 N COLE RD SUITE A
BOISE, ID 83704-8638
Phone number: 208-323-8888
Mailing Address
-- CHRISTINA OTTO MACCC, SLP
7334 GILLIS RD
BOISE, ID 83714-5016
Phone number: 208-853-1772
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GREGORY CODE