Individual
SERENA JEAN DEWEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
398 S CORBIN RD, POST FALLS, ID 83854-8139
(208) 978-1111
Mailing address
398 S CORBIN RD, POST FALLS, ID 83854-8139
(208) 978-1111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2345
ID
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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