Individual
DIANA LYN BARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11831 W BOX CANYON ST, STAR, ID 83669-6141
(406) 499-2125
Mailing address
11831 W BOX CANYON ST, STAR, ID 83669-6141
(406) 499-2125
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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