SPENCER VANDENBURG

IDAHO FALLS, ID
NPI1497365845
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
Enumeration Date2020-07-31
Last Update Date2020-07-31
Business Address
SPENCER VANDENBURG OTR/L
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
Mailing Address
SPENCER VANDENBURG OTR/L
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286