Individual
NICOLE TAYLOR KAMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT/R
Contact information
Practice address
3814 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7591
(208) 360-4584
Mailing address
694 MANCHESTER LN, IDAHO FALLS, ID 83402-4756
(208) 360-4584
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2213
ID
Other
Enumeration date
02/26/2022
Last updated
02/26/2022
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