Individual
NICOLE FRENCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 S BROADWAY AVE, BOISE, ID 83706-3706
(360) 420-4353
(360) 420-4353
Mailing address
1410 S BROADWAY AVE, BOISE, ID 83706-3706
(360) 420-4353
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
224Z00000X
ID
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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