Individual
SARAH ANN OFTEDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
5609 S ADONIS PL, BOISE, ID 83716-6951
(208) 794-2674
Mailing address
5609 S ADONIS PL, BOISE, ID 83716-6951
(208) 794-2674
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-648
ID
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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