MICHELLE LEIGH DIETZ

BOISE, ID
NPI1447975909
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: ID  OT-2179)
Enumeration Date2022-10-06
Last Update Date2022-10-06
Business Address
MICHELLE LEIGH DIETZ MSOTR/L
7211 W FRANKLIN RD
BOISE, ID 83709-0926
Phone number: 208-375-4200
Mailing Address
MICHELLE LEIGH DIETZ MSOTR/L
7728 ARLINGTON DR
NAMPA, ID 83687-8348
Phone number:
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