Matthew Alan Henslee, COTA

NPI #1558579979 in Boise, Idaho

Provider Information

NPI Number
1558579979
Entity Type
Individual
Name
Matthew Alan Henslee, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nursing Facility/Intermediate Care Facility
Credential
COTA
Enumeration Date
May 18, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1130 ALLUMBAUGH ST
City
Boise
State
Idaho
ZIP Code
83704-8700
Phone
(208) 854-8517

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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