HEATHER MANNING

GOODING, ID
NPI1619325933
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-1605)
Enumeration Date2016-05-26
Last Update Date2016-05-26
Business Address
-- HEATHER MANNING COTA/L
1220 MONTANA ST
GOODING, ID 83330-1856
Phone number: 208-934-5601
Mailing Address
-- HEATHER MANNING COTA/L
1220 MONTANA ST
GOODING, ID 83330-1856
Phone number: 208-934-5601
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