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1437679362
ERIN DEGROOT
IDAHO FALLS, ID
NPI
1437679362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-1583)
Enumeration Date
2017-06-21
Last Update Date
2018-03-17
Business Address
ERIN DEGROOT COTA/L
3111 CHANNING WAY
IDAHO FALLS, ID 83404-7534
Phone number: 208-529-0067
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Mailing Address
ERIN DEGROOT COTA/L
2270 STACE ST
IDAHO FALLS, ID 83401-5231
Phone number: 208-891-0360
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