Individual
JENNIFER BARRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2138
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2138
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT-1435
ID
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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