WILLA NEUSWANGER WEST

IDAHO FALLS, ID
NPI1972773372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: ID  OT-109)
Enumeration Date2008-03-03
Last Update Date2008-03-03
Business Address
-- WILLA NEUSWANGER WEST OTR/L
5963 W BROADWAY ST
IDAHO FALLS, ID 83402-5421
Phone number: 208-589-6818
Mailing Address
-- WILLA NEUSWANGER WEST OTR/L
5963 W BROADWAY ST
IDAHO FALLS, ID 83402-5421
Phone number: 208-589-6818
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