SCOTT G. STEVENS

CHUBBUCK, ID
NPI1821161522
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT569)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
-- SCOTT G. STEVENS O.T.
4473 FOX CT
CHUBBUCK, ID 83202-2670
Phone number: 208-234-9344
Mailing Address
-- SCOTT G. STEVENS O.T.
2463 DIANE LN
POCATELLO, ID 83201-1906
Phone number: 208-234-9344
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