Individual
MURRY ODONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-7275
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-7275
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
Primary
081
ID
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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