Individual
BETTY J TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9184 W STONEWOOD DR, BOISE, ID 83709-5436
(208) 488-1846
Mailing address
PO BOX 191081, BOISE, ID 83719-1081
(208) 488-1846
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1597
ID
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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