ELISA BOVENZI

BOISE, ID
NPI1285888503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist Pediatrics
(Licence: ID  OT-446)
Additional Taxonomies174400000X Specialist
(Licence: ID  OT-446)
Enumeration Date2008-11-13
Last Update Date2022-10-05
Business Address
ELISA BOVENZI OT
101 S ALLUMBAUGH WAY
BOISE, ID 83709-5658
Phone number: 208-323-8888
Mailing Address
ELISA BOVENZI OT
101 S ALLUMBAUGH WAY
BOISE, ID 83709-5658
Phone number: 208-323-8888