GARY HOWARD WILLIS

POCATELLO, ID
NPI1710050414
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT593)
Enumeration Date2006-11-17
Last Update Date2026-06-14
Business Address
-- GARY HOWARD WILLIS O.T.
151 N 4TH AVE STE A
POCATELLO, ID 83201-6300
Phone number: 208-604-0800
Mailing Address
-- GARY HOWARD WILLIS O.T.
1030 STARS RD
CHUBBUCK, ID 83202-1982
Phone number: 208-604-0800
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