Individual
MRS. LORIE P MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1501 HILAND AVE, BURLEY, ID 83318-2688
(208) 677-6530
(208) 677-6306
Mailing address
91 S 850 W, PAUL, ID 83347-8733
(208) 677-6530
(208) 677-6306
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-73
ID
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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