Individual
SUSAN DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
7960 W RIFLEMAN ST, #155, BOISE, ID 83704-9064
(208) 377-8899
(208) 321-1952
Mailing address
7960 W RIFLEMAN ST, #155, BOISE, ID 83704-9064
(208) 377-8899
(208) 321-1952
Taxonomy
Speciality
Code
Description
License number
State
156FX1900X
Orthoptist
Primary
OT-259
ID
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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