Individual
AMANDA BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
600 N ROBBINS RD, BOISE, ID 83702-4565
(120) 848-9444
(208) 489-4052
Mailing address
930 S PENMARK AVE, KUNA, ID 83634-5394
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1382
ID
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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