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Individual

DR. AMY LYNN FUST SHAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS, OTD

Contact information

Practice address
449 S FITNESS PL, EAGLE, ID 83616-6828
(208) 957-6301
Mailing address
1675 W COVENANT HILL CT, EAGLE, ID 83616-7098
(925) 683-7294

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
09/15/2022
Last updated
09/15/2022
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