Individual
MS. ERICA NICOLE KRISTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
588 E PENNSYLVANIA ST, BOISE, ID 83706-4430
(518) 986-1773
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2308
ID
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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