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Individual

DR. CHAD A HILMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTD, OTR/L

Contact information

Practice address
4713 S SILVERMAPLE AVE, BOISE, ID 83709-5781
(213) 800-3096
Mailing address
4713 S SILVERMAPLE AVE, BOISE, ID 83709-5781
(213) 800-3096

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OT-2257
ID
225XM0800X
Mental Health Occupational Therapist

Other

Enumeration date
09/09/2015
Last updated
03/09/2022
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