MRS. Andrea M Rausch, BA-ECSE

NPI #1467812685 in Pocatello, Idaho

Provider Information

NPI Number: 1467812685
Entity Type: Individual
Name: MRS. Andrea M Rausch, BA-ECSE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: BA-ECSE
Enumeration Date: Mar 1, 2016
Last Updated: Mar 1, 2016

Practice Location

Address: 421 MEMORIAL DR
City: Pocatello
State: Idaho
ZIP Code: 83201-4008
Phone: (208) 705-5415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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