DOUGLAS ANDERSON

TWIN FALLS, ID
NPI1497183396
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-063)
Enumeration Date2013-10-31
Last Update Date2013-10-31
Business Address
-- DOUGLAS ANDERSON COTA/L, CEAS
234 CARNEY ST
TWIN FALLS, ID 83301-5010
Phone number: 208-410-0607
Mailing Address
-- DOUGLAS ANDERSON COTA/L, CEAS
234 CARNEY ST
TWIN FALLS, ID 83301-5010
Phone number: 208-410-0607
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