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Individual

HANNAH GOLDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
1460 ELK CREEK, IDAHO FALLS, ID 83404
(208) 535-1286
Mailing address
1541 S 4TH AVE, POCATELLO, ID 83201-6838
(208) 863-8733

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1922
ID

Other

Enumeration date
09/04/2018
Last updated
09/04/2018
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