LISA HONG

IDAHO FALLS, ID
NPI1295135028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-849)
Enumeration Date2014-08-29
Last Update Date2014-08-29
Business Address
-- LISA HONG MOTR/L
3715 WOODKING DR
IDAHO FALLS, ID 83404-4720
Phone number: 208-521-3253
Mailing Address
-- LISA HONG MOTR/L
694 MELROSE DR
IDAHO FALLS, ID 83401-3250
Phone number: 208-521-3253