MARY LOUISE ELMORE

CALDWELL, ID
NPI1730349119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-134)
Enumeration Date2008-06-10
Last Update Date2008-06-10
Business Address
-- MARY LOUISE ELMORE COTA/L
2814 S INDIANA AVE
CALDWELL, ID 83605-5925
Phone number: 208-454-0380
Mailing Address
-- MARY LOUISE ELMORE COTA/L
6330 TAHOE DR
BOISE, ID 83709-1067
Phone number: 208-841-9243
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