Individual
BROOKE KORTEKAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 ELK CREEK DR, IDAHO FALLS, ID 83404-8237
(208) 535-1286
Mailing address
233 W SIPHON RD APT 3, CHUBBUCK, ID 83202-2097
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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