Individual
ALISON ANN BAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1127 CALDWELL BLVD, NAMPA, ID 83686
(208) 465-4935
(208) 465-4935
Mailing address
433 FALL DRIVE, NAMPA, ID 83686
(208) 573-0617
(208) 465-4953
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA087
ID
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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