KIRSTEN EVENSEN

BOISE, ID
NPI1720111826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-500)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
-- KIRSTEN EVENSEN OTR L
890 N COLE RD STE A
BOISE, ID 83704-8638
Phone number: 208-323-8888
Mailing Address
-- KIRSTEN EVENSEN OTR L
PO BOX 1730
MCCALL, ID 83638-1730
Phone number: 208-634-9788
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