MARGO CLARK

BOISE, ID
NPI1578916110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-034)
Enumeration Date2016-07-19
Last Update Date2016-07-19
Business Address
-- MARGO CLARK OTR/L
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-412-5135
Mailing Address
-- MARGO CLARK OTR/L
1041 STEEPLE VIEW DR
EAGLE, ID 83616-4721
Phone number: 208-412-5135
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