STEPHEN KEAVENY

BOISE, ID
NPI1417402470
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-1624)
Enumeration Date2016-08-19
Last Update Date2016-08-19
Business Address
-- STEPHEN KEAVENY MOTR/L
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-985-3423
Mailing Address
-- STEPHEN KEAVENY MOTR/L
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-985-3423
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