Individual
MICHAEL SPERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3163 N ASH PARK LN, BOISE, ID 83704-5715
(208) 867-0116
Mailing address
8024 W SCARDALE CT, BOISE, ID 83704-0713
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT337
ID
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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