Individual
CHRISTINA MARIE WARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
3169 S BOWN WAY, 276, BOISE, ID 83706-5400
(208) 433-9152
Mailing address
5740 W MARVIN LN, 276, BOISE, ID 83705-6222
(406) 951-0180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1728
ID
225XP0200X
Pediatric Occupational Therapist
OT-1728
ID
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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