FRED ZACHERY NEIWERT

BOISE, ID
NPI1376017327
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-2018)
Enumeration Date2019-01-13
Last Update Date2019-01-13
Business Address
FRED ZACHERY NEIWERT MOT, OTR/L
6855 W FAIRVIEW AVE
BOISE, ID 83704-8046
Phone number: 208-323-8888
Mailing Address
FRED ZACHERY NEIWERT MOT, OTR/L
1398 N HARTMAN ST APT B12
BOISE, ID 83704-8847
Phone number: 509-389-2443
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