Lisa D Boggs, OTRL

NPI #1225373939 in Gooding, Idaho

Provider Information

NPI Number
1225373939
Entity Type
Individual
Name
Lisa D Boggs, OTRL
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
OTRL
Enumeration Date
Dec 6, 2012
Last Updated
Dec 6, 2012

Practice Location

Address
1220 MONTANA ST
State
Idaho
ZIP Code
83330-1856
Phone
(208) 934-5601

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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