KATHLEEN ELLIS

COEUR D ALENE, ID
NPI1528265014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT 404)
Enumeration Date2007-06-28
Last Update Date2007-07-08
Business Address
-- KATHLEEN ELLIS
210 W LACROSSE AVE
COEUR D ALENE, ID 83814-2403
Phone number: 208-664-2185
Mailing Address
-- KATHLEEN ELLIS
3856 S BRENTWOOD LN
COEUR D ALENE, ID 83814-7337
Phone number:
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