JEREMY ETHAN FIRSTENBERG

IDAHO FALLS, ID
NPI1740990118
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: ID  OT-2661)
Enumeration Date2022-11-28
Last Update Date2022-11-28
Business Address
JEREMY ETHAN FIRSTENBERG OTR/L
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
Mailing Address
JEREMY ETHAN FIRSTENBERG OTR/L
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number:
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