Individual
JESSICA HALEY ZIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
820 ELM DR, ST MARIES, ID 83861-2119
(208) 245-4576
Mailing address
509 N SULLIVAN RD STE C424, SPOKANE VALLEY, WA 99037-8531
(509) 879-3592
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 1116
ID
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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