Terra Bariel
Developmental Therapist in Grangeville, ID. Individual provider (NPI-1).
NPI number1548041908
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1548041908
- Entity type
- Individual (NPI-1)
- Name
- Terra Bariel
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2023
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
305 S D St Apt 20Grangeville, ID 83530-1353
Phone 208-996-4284
Mailing address
305 S D St Apt 20Grangeville, ID 83530-1353
Phone 208-996-4284
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