SHANNON SWANSON

BOISE, ID
NPI1780131128
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT - 1562)
Enumeration Date2016-09-01
Last Update Date2016-09-01
Business Address
-- SHANNON SWANSON
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-1117
Mailing Address
-- SHANNON SWANSON
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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