WKL EDGERLY

EAGLE, ID
NPI1619335502
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-1121)
Enumeration Date2016-02-05
Last Update Date2016-02-05
Business Address
-- WKL EDGERLY COTA/L
449 S FITNESS PL
EAGLE, ID 83616-6828
Phone number: 208-957-6301
Mailing Address
-- WKL EDGERLY COTA/L
449 S FITNESS PL
EAGLE, ID 83616-6828
Phone number: 208-957-6301
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