Individual
CAROLE A BETTWIESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3862 S YORKTOWN WAY, BOISE, ID 83706-6032
(858) 357-7298
Mailing address
3862 S YORKTOWN WAY, BOISE, ID 83706-6032
(858) 357-7298
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1173
ID
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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