JIMMY LOUIS BURKHARD

COEUR D ALENE, ID
NPI1407261332
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-196)
Enumeration Date2014-06-30
Last Update Date2014-06-30
Business Address
-- JIMMY LOUIS BURKHARD
210 W LACROSSE AVE
COEUR D ALENE, ID 83814-2403
Phone number: 208-664-2185
Mailing Address
-- JIMMY LOUIS BURKHARD
210 W LACROSSE AVE
COEUR D ALENE, ID 83814-2403
Phone number: 208-664-2185
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