Susan Detweiler, MOTR/L

NPI #1457070765 in Driggs, Idaho

Provider Information

NPI Number
1457070765
Entity Type
Individual
Name
Susan Detweiler, MOTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
MOTR/L
Enumeration Date
Aug 22, 2022
Last Updated
Aug 22, 2022

Practice Location

Address
180 S. MAIN ST
Address 2
C-2, BROULIM'S RETAIL CENTER
City
Driggs
State
Idaho
ZIP Code
83422-0129
Phone
(208) 354-3128

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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