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Individual

GRACE YEEUN HWANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4842 N CORTONA WAY STE 100, MERIDIAN, ID 83646-3171
(208) 888-8306
Mailing address
6072 S SETTLEMENT WAY, BOISE, ID 83716-9038

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2751
ID

Other

Enumeration date
08/01/2023
Last updated
08/01/2023
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