AMANDA CHEYENNE ENRICO

DRIGGS, ID
NPI1831381094
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-835)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: WY  OTR719)
Enumeration Date2007-08-13
Last Update Date2024-06-21
Business Address
AMANDA CHEYENNE ENRICO OTR
30 E LITTLE AVE
DRIGGS, ID 83422-5138
Phone number: 208-709-2911
Mailing Address
AMANDA CHEYENNE ENRICO OTR
548 COBBLECREST RD
DRIGGS, ID 83422
Phone number: 208-709-2911