HANNAH LOGUE

BOISE, ID
NPI1497363097
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-2223)
Enumeration Date2020-07-20
Last Update Date2020-07-20
Business Address
HANNAH LOGUE
1410 S BROADWAY AVE
BOISE, ID 83706-3706
Phone number: 208-949-3481
Mailing Address
HANNAH LOGUE
1410 S BROADWAY AVE
BOISE, ID 83706-3706
Phone number: 208-949-3481