JACLYN ANN CHAVEZ

LEWISTON, ID
NPI1750543930
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-768)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: WA  00004442)
Enumeration Date2008-06-27
Last Update Date2017-04-23
Business Address
Mrs. JACLYN ANN CHAVEZ OTR/L
3600 COUNTRY CLUB DR
LEWISTON, ID 83501-9621
Phone number: 208-503-2194
Mailing Address
Mrs. JACLYN ANN CHAVEZ OTR/L
3600 COUNTRY CLUB DR
LEWISTON, ID 83501-9621
Phone number: 208-503-2194