Individual
KEPHRI NANCI GWINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 465, MCCALL, ID 83638-0465
(907) 561-3333
Mailing address
PO BOX 465, MCCALL, ID 83638-0465
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
10/02/2024
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