JESSICA M DIVIESTI

IDAHO FALLS, ID
NPI1972845261
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-820)
Enumeration Date2013-03-25
Last Update Date2013-03-25
Business Address
-- JESSICA M DIVIESTI OTR/L
935 SAFSTROM DR
IDAHO FALLS, ID 83401-4107
Phone number: 208-520-2120
Mailing Address
-- JESSICA M DIVIESTI OTR/L
935 SAFSTROM DR
IDAHO FALLS, ID 83401-4107
Phone number: 208-520-2120
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