SPENCER O MAUK

BOISE, ID
NPI1366258717
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2024-12-09
Last Update Date2024-12-09
Business Address
SPENCER O MAUK
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
Mailing Address
SPENCER O MAUK
1924 ROLLINGWOOD DR
FORT COLLINS, CO 80525-1222
Phone number: 970-631-2053