Individual
MRS. CARMAL SUZANNE CHRISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
331 E PARK ST, WEISER, ID 83672-2053
(208) 549-0206
Mailing address
118 W CURLING DR, BOISE, ID 83702-1625
(208) 331-4142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-647
ID
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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