Individual
MR. JARED AUSTIN PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTL
Contact information
Practice address
3368 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 899-7992
(208) 795-8927
Mailing address
1886 S PELICAN AVE, MERIDIAN, ID 83642-4747
(208) 870-3258
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTL-1705
ID
Other
Enumeration date
01/15/2017
Last updated
08/30/2021
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