Individual
MS. JODI NELSON DEERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.T.R.S.
Contact information
Practice address
2305 N MARBURG PL, MERIDIAN, ID 83646-3818
(208) 863-2409
Mailing address
2305 N MARBURG PL, MERIDIAN, ID 83646-3818
(208) 863-2409
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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