ILLA STICE

Occupational Therapy Assistant · BOISE, ID

Individual Active NPI 1144635129

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Occupational Therapy Assistant224Z00000XOTA-1151ID

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.