KATIE CHASE

BOISE, ID
NPI1992236988
Former NameKATIE BURRESS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-1749)
Enumeration Date2017-03-22
Last Update Date2017-03-22
Business Address
-- KATIE CHASE COTA/L
1410 S BROADWAY AVE
BOISE, ID 83706-3706
Phone number: 208-949-3481
Mailing Address
-- KATIE CHASE COTA/L
11890 W FIDDLER DR
BOISE, ID 83713-1730
Phone number:
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