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1720424104
AMANDA WERTH
POCATELLO, ID
NPI
1720424104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OTL1222)
Enumeration Date
2013-05-13
Last Update Date
2013-05-16
Business Address
-- AMANDA WERTH OTL
1110 CALL CREEK DR SUITE 7
POCATELLO, ID 83201-3001
Phone number: 208-233-4660
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Mailing Address
-- AMANDA WERTH OTL
1110 CALL CREEK DR SUITE 7
POCATELLO, ID 83201-3001
Phone number: 208-233-4660
Copy
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