AMBER IRENE DYSART

BOISE, ID
NPI1629421201
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT1310)
Enumeration Date2016-07-19
Last Update Date2016-07-19
Business Address
Mrs. AMBER IRENE DYSART OTR/L
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-1117
Mailing Address
Mrs. AMBER IRENE DYSART OTR/L
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-1117
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