Individual
MRS. THERESA MARGARET BRYNTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
7979 W. RIFLEMAN ST., SUITE 200, BOISE, ID 83704
(208) 377-3850
(208) 369-9272
Mailing address
7979 W. RIFLEMAN ST., SUITE 200, BOISE, ID 83704
(208) 377-3850
(208) 369-9272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT456
ID
225XH1200X
Hand Occupational Therapist
—
ID
Other
Enumeration date
04/26/2006
Last updated
09/30/2021
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