Individual
KATHRYN HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-1117
Mailing address
3602 E HANDCART LN, BOISE, ID 83716-7093
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1394
ID
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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