Individual
AMANDA JEAN CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4706 W CORPORAL ST, BOISE, ID 83706-1925
(208) 949-0755
Mailing address
4706 W CORPORAL ST, BOISE, ID 83706-1925
(208) 949-0755
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1345
ID
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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