Matthew D Woodruff MOTR/L

NPI 1629220918 - Occupational Therapist - 225X00000X

NPI Details
NPI 1629220918
Gender Male
Enumeration Date 10/17/2008
Last Updated 10/17/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
5521 W STATE ST
BOISE ID, 83703-3337, US
Phone (208) 853-6220
Fax (208) 853-0554
Business Location
5521 W STATE ST
BOISE ID, 83703-3337, US
Phone (208) 853-6220
Fax (208) 853-0554
Toxanomy
Taxonomy Code 225X00000X
License State Idaho
License Number OT-765
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According to our database, Mr. Matthew D Woodruff MOTR/L NPI is 1629220918, taxonomy code is 225X00000X and license number is OT-765, license state is located at Idaho. Matthew D Woodruff MOTR/L physically located at 5521 W State St, Boise ID, 83703-3337. NPI Number Matthew D Woodruff MOTR/L has the Individual type.

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1629220918 NPI number is provided on an as is basis without warranty of any kind. 1629220918 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew D Woodruff MOTR/L are for informational purposes only.