ELLEN WESTERDAAL

WEISER, ID
NPI1801058144
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-146)
Enumeration Date2008-06-27
Last Update Date2008-06-27
Business Address
-- ELLEN WESTERDAAL
331 E PARK ST
WEISER, ID 83672-2053
Phone number: 208-549-2416
Mailing Address
-- ELLEN WESTERDAAL
331 E PARK ST
WEISER, ID 83672-2053
Phone number: 208-549-2416
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