Individual
NIKKI E O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L CLT
Contact information
Practice address
717 N LIBERTY ST, BOISE, ID 83704-9342
(208) 367-8989
(208) 367-8944
Mailing address
717 N LIBERTY ST, BOISE, ID 83704-9342
(208) 367-8989
(208) 367-8944
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1245
ID
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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