Individual
MISS REBECCA LOUISE OHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
600 ROBBINS RD, BOISE, ID 83702-4539
(208) 489-4444
Mailing address
1806 W BANNOCK ST, BOISE, ID 83702-5108
(208) 343-4388
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1094
ID
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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