Individual
ANNA LEORA ROSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N ROBBINS RD, BOISE, ID 83702-4539
(208) 489-4444
Mailing address
623 N GREY PEBBLE PL, EAGLE, ID 83616-4176
(858) 243-8763
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6561779
ID
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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