BROOKE SUE RUPE

IDAHO FALLS, ID
NPI1376213850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-2264)
Enumeration Date2021-09-16
Last Update Date2021-09-16
Business Address
BROOKE SUE RUPE COTA/L
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
Mailing Address
BROOKE SUE RUPE COTA/L
2615 REBEL RD
AMMON, ID 83406
Phone number: 208-419-8894