Individual
CONNIE KOEPKE SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
906 N 17TH ST, BOISE, ID 83702-3301
(208) 422-1000
(208) 422-1390
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT046
ID
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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