LESLEE B TATE

CALDWELL, ID
NPI1346922291
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OCTAA-2861)
Enumeration Date2023-08-01
Last Update Date2023-08-01
Business Address
LESLEE B TATE
1906 FAIRVIEW AVE STE 330
CALDWELL, ID 83605-5425
Phone number: 208-385-3680
Mailing Address
LESLEE B TATE
11676 RICHMOND ST
CALDWELL, ID 83605-6047
Phone number: 208-340-0085
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