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Chantelle Bernier

Occupational Therapist, Pediatrics in Boise, ID. Individual provider (NPI-1).

NPI number1669922209
StatusActive
Last updated in NPPESOct 6, 2016

Details

NPI
1669922209
Entity type
Individual (NPI-1)
Name
Chantelle Bernier
Sex
Female
Sole proprietor
No
Enumeration date
Oct 6, 2016
Last updated
Oct 6, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, PediatricsOT - 1533IDYes

Practice location

190 E Bannock St
Boise, ID 83712-6241

Phone 208-381-2078 · Fax 208-381-2178

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Phone 208-381-2078 · Fax 208-381-2178

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