MARESA BLACK

SANDPOINT, ID
NPI1750758702
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: ID  OT-1405)
Enumeration Date2015-08-25
Last Update Date2016-05-13
Business Address
-- MARESA BLACK MOT, OTR/L
506 ALDER ST FL 2
SANDPOINT, ID 83864-1567
Phone number: 208-627-8615
Mailing Address
-- MARESA BLACK MOT, OTR/L
PO BOX 2476
SANDPOINT, ID 83864-0914
Phone number: 208-627-8615
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