TIA BURNS

POCATELLO, ID
NPI1780919134
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-939)
Enumeration Date2009-10-02
Last Update Date2015-06-08
Business Address
-- TIA BURNS MOTR/L, CHT
560 MEMORIAL DR STE B
POCATELLO, ID 83201-4073
Phone number: 208-478-0258
Mailing Address
-- TIA BURNS MOTR/L, CHT
882 WINGATE DR
POCATELLO, ID 83201-5468
Phone number: 208-680-1838
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