ALYSSA BURGOYNE

POCATELLO, ID
NPI1649904723
Former NameALYSSA NORTHRUP
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist Pediatrics
Enumeration Date2022-07-13
Last Update Date2022-07-13
Business Address
ALYSSA BURGOYNE OTL
1110 CALL CREEK DR STE 7
POCATELLO, ID 83201-3072
Phone number: 208-233-4660
Mailing Address
ALYSSA BURGOYNE OTL
1110 CALL CREEK DR STE 7
POCATELLO, ID 83201-3072
Phone number: 208-233-4660
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