Individual
SARAH BOLLIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
674 EASTLAND DR, TWIN FALLS, ID 83301-6846
(208) 734-4264
Mailing address
674 SARATOGA DR APT 201, TWIN FALLS, ID 83301-4549
(208) 353-5326
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1133
ID
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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