TAYLER PECK

BLACKFOOT, ID
NPI1497154280
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTAL-1363)
Enumeration Date2014-08-18
Last Update Date2016-03-17
Business Address
-- TAYLER PECK COTA
7 N 600 W
BLACKFOOT, ID 83221-5533
Phone number: 208-782-2267
Mailing Address
-- TAYLER PECK COTA
878 BROOKSIDE LN
POCATELLO, ID 83204-5039
Phone number: 208-406-7799
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