Individual
HANNAH TERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2241 OVERLAND AVE, BURLEY, ID 83318-2929
(208) 749-0566
Mailing address
2241 OVERLAND AVE, BURLEY, ID 83318-2929
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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