BETTY CHRISTINA JAQUES

BLACKFOOT, ID
NPI1811054265
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-232)
Additional Taxonomies225XP0200X Occupational Therapist, Pediatrics
(Licence: ID  OT-232)
Enumeration Date2007-01-03
Last Update Date2007-07-08
Business Address
Mrs. BETTY CHRISTINA JAQUES OTRL
7 N 600 W
BLACKFOOT, ID 83221-5533
Phone number: 208-684-9812
Mailing Address
Mrs. BETTY CHRISTINA JAQUES OTRL
7 N 600 W
BLACKFOOT, ID 83221-5533
Phone number: 208-684-9812