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Individual

JULIE DINWIDDIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
325 W RIDGELINE DR, BOISE, ID 83702-6504
(208) 340-3505
Mailing address
325 W RIDGELINE DR, BOISE, ID 83702-6504
(208) 340-3505

Taxonomy

Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
OT-1204
ID
225XN1300X
Neurorehabilitation Occupational Therapist
OT-1204
ID
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT-1204
ID

Other

Enumeration date
01/07/2010
Last updated
05/20/2024
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