Individual
DONALD SHELBY RUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
9850 ST LUKES DR, NAMPA, ID 83687-7912
(208) 319-4981
Mailing address
14455 W COMISKY DR, BOISE, ID 83713-0966
(208) 319-4981
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-960
ID
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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