DANIEL LEATHAM

POCATELLO, ID
NPI1831626639
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OTL-1761)
Enumeration Date2017-05-11
Last Update Date2017-05-12
Business Address
DANIEL LEATHAM MOT/L
1110 CALL CREEK DR STE. 7
POCATELLO, ID 83201-3001
Phone number: 208-233-4660
Mailing Address
DANIEL LEATHAM MOT/L
1110 CALL CREEK DR STE. 7
POCATELLO, ID 83201-3001
Phone number: 208-233-4660