Individual
JENNIFER BRAZEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
330 LIL ROBERT CT, KUNA, ID 83634-5075
(208) 908-2976
Mailing address
330 LIL ROBERT CT, KUNA, ID 83634-5075
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1038
ID
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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