ERIC WATERS

BLACKFOOT, ID
NPI1730499179
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  NBCOT 277538/NOSTATE)
Enumeration Date2010-10-19
Last Update Date2013-01-22
Business Address
ERIC WATERS
4 N 740 W
BLACKFOOT, ID 83221-5340
Phone number: 208-684-4077
Mailing Address
ERIC WATERS
PO BOX 293
BLACKFOOT, ID 83221-0293
Phone number:
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