TRISHA EVANS

REXBURG, ID
NPI1831549401
Former NameTRISHA A MILES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OTL-1612)
Enumeration Date2016-06-15
Last Update Date2016-06-15
Business Address
-- TRISHA EVANS MOT
36 PROFESSIONAL PLAZA SUITE 110
REXBURG, ID 83440
Phone number: 208-359-9570
Mailing Address
-- TRISHA EVANS MOT
1216 HOLMAN AVE
POCATELLO, ID 83201-2907
Phone number: 208-319-4187