AJ JAQUES

IDAHO FALLS, ID
NPI1659461168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-282)
Enumeration Date2006-10-13
Last Update Date2007-07-08
Business Address
Ms. AJ JAQUES OTRL
510 E 17TH ST # 400
IDAHO FALLS, ID 83404-6154
Phone number: 208-589-0807
Mailing Address
Ms. AJ JAQUES OTRL
4434 E 400 N
RIGBY, ID 83442-5525
Phone number: 208-745-9046