Mary Louise Elmore, COTA/L

NPI #1730349119 in Caldwell, Idaho

Provider Information

NPI Number
1730349119
Entity Type
Individual
Name
Mary Louise Elmore, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Jun 10, 2008
Last Updated
Jun 10, 2008

Practice Location

Address
2814 S INDIANA AVE
State
Idaho
ZIP Code
83605-5925
Phone
(208) 454-0380

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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