ELI WALLACE HANKS

IDAHO FALLS, ID
NPI1457872202
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-1511)
Enumeration Date2017-07-02
Last Update Date2022-07-21
Business Address
MR. ELI WALLACE HANKS COTA/L
3111 CHANNING WAY
IDAHO FALLS, ID 83404-7534
Phone number: 208-529-0067
Mailing Address
MR. ELI WALLACE HANKS COTA/L
3111 CHANNING WAY
IDAHO FALLS, ID 83404-7534
Phone number: 208-529-0067
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