Individual
CHARLES VERNON TOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2656 E MAGIC VIEW DR, MERIDIAN, ID 83642-6243
(208) 996-2801
Mailing address
871 E 4TH ST, KUNA, ID 83634-2152
(208) 948-7035
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2102
ID
Other
Enumeration date
10/10/2012
Last updated
05/12/2022
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