Individual
SUSAN PAHLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
489 SW 7TH AVE, MERIDIAN, ID 83642-2809
(208) 891-3258
Mailing address
489 SW 7TH AVE, MERIDIAN, ID 83642-2809
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213
ID
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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