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Individual

EMILY WOODBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(207) 336-1232
Mailing address
11457 W MONTANA ST, BOISE, ID 83713-1130
(120) 799-1232

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2474
ID

Other

Enumeration date
03/01/2022
Last updated
03/01/2022
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