ELYSE MARIE POWDERLY

TWIN FALLS, ID
NPI1982327649
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-2636)
Enumeration Date2022-09-19
Last Update Date2022-09-19
Business Address
ELYSE MARIE POWDERLY OTR/L
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-814-1000
Mailing Address
ELYSE MARIE POWDERLY OTR/L
214 TARA WOODS DR APT 2
BUMPASS, VA 23024-4935
Phone number: 732-861-2193
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