TERRANCE NELSON

REXBURG, ID
NPI1740526128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-732)
Enumeration Date2012-12-12
Last Update Date2012-12-12
Business Address
Mr. TERRANCE NELSON
1375 W 3600 S
REXBURG, ID 83440-4107
Phone number: 208-356-4253
Mailing Address
Mr. TERRANCE NELSON
1375 W 3600 S
REXBURG, ID 83440-4107
Phone number:
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