Individual
KAVITA PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N ROBBINS RD, BOISE, ID 83702-4565
(208) 706-5549
Mailing address
1394 E HOLLY ST, BOISE, ID 83712-8307
(208) 891-3808
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 787
ID
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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