Individual
DANIEL ALDAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
1503 BLUE LAKES BLVD N, TWIN FALLS, ID 83301-3377
(208) 735-9500
Mailing address
1503 BLUE LAKES BLVD N, TWIN FALLS, ID 83301-3377
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1055
ID
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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