NICOLE HENDERSHOT

BOISE, ID
NPI1477246999
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-2758)
Enumeration Date2023-05-31
Last Update Date2023-05-31
Business Address
NICOLE HENDERSHOT OTR/L
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
Mailing Address
NICOLE HENDERSHOT OTR/L
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: