Individual
LAURIE BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 SUNSET AVENUE, CALDWELL, ID 83605
(916) 758-1484
Mailing address
2205 SUNSET AVENUE, CALDWELL, ID 83605
(916) 758-1484
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2117
ID
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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