Individual
SUSAN KUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
564 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5298
(208) 552-1759
Mailing address
564 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5298
(208) 523-7571
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT-1818
ID
Other
Enumeration date
11/04/2020
Last updated
01/24/2022
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