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1629220918
MATTHEW D WOODRUFF
BOISE, ID
NPI
1629220918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-765)
Enumeration Date
2008-10-17
Last Update Date
2018-08-10
Business Address
Mr. MATTHEW D WOODRUFF MOTR/L
5521 W STATE ST
BOISE, ID 83703-3337
Phone number: 208-853-6220
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Mailing Address
Mr. MATTHEW D WOODRUFF MOTR/L
3015 E MAGIC VIEW DR STE 100
MERIDIAN, ID 83642-3750
Phone number: 208-853-6220
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