Individual
MRS. SARAH KOFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W LACROSSE, COEUR D' ALENE, ID 83835
(208) 664-2185
Mailing address
1715 E PEBBLESTONE CT, HAYDEN, ID 83835-8145
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT101
—
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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