Individual
MS. BRIDGET ANN HERNDON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
411 W HAYCRAFT AVE STE 1, COEUR D ALENE, ID 83815-8105
(208) 664-2468
Mailing address
411 W HAYCRAFT AVE STE D1, COEUR D ALENE, ID 83815-8104
(208) 664-2468
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2320
ID
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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