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1841628112
GARY ROSSBERG
COEUR D ALENE, ID
NPI
1841628112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-146)
Enumeration Date
2013-10-24
Last Update Date
2013-10-24
Business Address
-- GARY ROSSBERG COTA/L
2200 IRONWOOD PL
COEUR D ALENE, ID 83814-2610
Phone number: 208-667-6486
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Mailing Address
-- GARY ROSSBERG COTA/L
2685 W ASHLAND LN
HAYDEN, ID 83835-8041
Phone number: 208-762-4761
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