Individual
BREANNA KAY EMBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8620 W EMERALD ST, BOISE, ID 83704-4824
(208) 898-1368
Mailing address
8620 W EMERALD STREET, BOISE, ID 83704
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2446
ID
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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