BROOKE LEIGH BLANCHARD

POCATELLO, ID
NPI1710460423
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-1965)
Enumeration Date2018-09-09
Last Update Date2018-09-09
Business Address
BROOKE LEIGH BLANCHARD COTA
1957 ALVIN RICKEN DR
POCATELLO, ID 83201-2727
Phone number: 208-235-7800
Mailing Address
BROOKE LEIGH BLANCHARD COTA
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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