Individual
MARIE ELIZABETH GONSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3550 W AMERICANA TER, BOISE, ID 83706-4728
(208) 615-4940
Mailing address
9207 W STONEHAM DR, BOISE, ID 83714-6705
(724) 980-4298
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2848
ID
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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