MR. Corwin Sutherin

NPI #1104035120 in Shelley, Idaho

Provider Information

NPI Number: 1104035120
Entity Type: Individual
Name: MR. Corwin Sutherin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: May 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1452 N 1180 E
City: Shelley
State: Idaho
ZIP Code: 83274-5100
Phone: (208) 282-2590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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