Individual
LORENA AGUILAR REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2127 W OVERLAND RD, BOISE, ID 83705-3149
(208) 321-4898
Mailing address
35 E CARLTON AVE, MERIDIAN, ID 83642-2364
(208) 250-9448
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-2432
ID
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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