DOUGLAS BIRKLAND

STAR, ID
NPI1578189833
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-1085)
Enumeration Date2020-06-23
Last Update Date2020-06-23
Business Address
DOUGLAS BIRKLAND
12222 W BRIDGER BAY DR
STAR, ID 83669-5081
Phone number: 208-391-2773
Mailing Address
DOUGLAS BIRKLAND
876 N CARMEN AVE
BOISE, ID 83704-9778
Phone number: 208-412-1034