Individual
JESSICA ENGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
5029 N ARLISS AVE, MERIDIAN, ID 83646-3308
(208) 569-1266
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1924
ID
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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