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Individual

KATHRYN TATIANA BECKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOT, OTR/L

Contact information

Practice address
7211 W FRANKLIN RD, BOISE, ID 83709-0926
(208) 375-4200
Mailing address
3585 W STATE ST, EAGLE, ID 83616-4549
(208) 921-8914

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2036
ID

Other

Enumeration date
03/21/2019
Last updated
03/21/2019
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