Individual
ELIZABETH H GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10025 N BLACKTAIL AVE, BOISE, ID 83714-9567
(208) 761-8180
Mailing address
10025 N BLACKTAIL AVE, BOISE, ID 83714-9567
(208) 761-8180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-889
ID
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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