Individual
MRS. LISA DOROTHY TRIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
764 W HEATHER WOODS DR, NAMPA, ID 83686-2685
(208) 461-4882
(208) 461-4882
Mailing address
764 W HEATHER WOODS DR, NAMPA, ID 83686-2685
(208) 461-4882
(208) 461-4882
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-808
ID
Other
Enumeration date
03/16/2008
Last updated
03/16/2008
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