Illa Stice
Illa Stice is an Occupational Therapy Assistant in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2014
Practice location Address checks out
3812 N Tamarack DrBoise, ID 83703-4556
Phone: (307) 287-0356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence OTA-1151 (ID) |
|---|
Record details
| NPI number | 1144635129 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 27, 2014 |
| Last updated in NPPES | June 27, 2014 |
| Mailing address | 3812 N Tamarack Dr, Boise, ID 83703-4556 |
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