SUSAN DETWEILER

DRIGGS, ID
NPI1457070765
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  2623)
Enumeration Date2022-08-22
Last Update Date2022-08-22
Business Address
SUSAN DETWEILER MOTR/L
180 S. MAIN ST C-2, BROULIM'S RETAIL CENTER
DRIGGS, ID 83422-0129
Phone number: 208-354-3128
Mailing Address
SUSAN DETWEILER MOTR/L
PO BOX 129
DRIGGS, ID 83422-0129
Phone number: 208-354-3128
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