HEATHER LESLIE SULLIVAN

BOISE, ID
NPI1700197118
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-134)
Enumeration Date2010-06-30
Last Update Date2010-06-30
Business Address
-- HEATHER LESLIE SULLIVAN OT
901 N CURTIS RD STE 204
BOISE, ID 83706-1340
Phone number: 208-367-3315
Mailing Address
-- HEATHER LESLIE SULLIVAN OT
901 N CURTIS RD STE 204
BOISE, ID 83706-1340
Phone number: 208-367-3315
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