Individual
KYLEE MICHELLE PERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
560 MEMORIAL DR STE B, POCATELLO, ID 83201-4073
(208) 478-0258
(208) 269-7336
Mailing address
560 MEMORIAL DR STE B, POCATELLO, ID 83201-4073
(208) 478-0258
(208) 269-7336
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
1559
ID
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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