JONATHAN CHIDESTER

REXBURG, ID
NPI1639245939
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-756)
Enumeration Date2006-11-28
Last Update Date2019-08-01
Business Address
Mr. JONATHAN CHIDESTER OTR/L
36 PROFESSIONAL PLZ STE 110
REXBURG, ID 83440-2049
Phone number: 208-359-9570
Mailing Address
Mr. JONATHAN CHIDESTER OTR/L
4105 E 525 N
RIGBY, ID 83442-5214
Phone number: 208-705-5222
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