Individual
BREANNA AMMARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2195 IRONWOOD CT, COEUR D ALENE, ID 83814-2628
(208) 769-1409
Mailing address
9222 W MICHAEL WAY, COEUR D ALENE, ID 83814-7195
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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