Individual
MR. DAVID PERRY BISCHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
640 FILER AVE W, TWIN FALLS, ID 83301-4533
(208) 734-8456
Mailing address
640 FILER AVE W, TWIN FALLS, ID 83301-4533
(208) 734-8456
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-628
ID
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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