Individual
GREGORY ALMA HEPWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1501 HILAND AVE, BURLEY, ID 83318-2682
(208) 677-6530
(208) 677-6306
Mailing address
1501 HILAND AVE, BURLEY, ID 83318-2682
(208) 677-6530
(208) 677-6306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-662
ID
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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