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Individual

JACOB ELWIN SCHOFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 810-9302
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-937
ID

Other

Enumeration date
11/10/2022
Last updated
11/10/2022
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