Individual
AMANDA H JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 N DIVISION AVE STE 102, SANDPOINT, ID 83864-5054
(208) 304-0652
Mailing address
6823 N COLFAX ST, DALTON GARDENS, ID 83815-9245
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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