ILLA STICE
Occupational Therapy Assistant
Active
Individual
NPI: 1144635129
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes | OTA-1151 (ID) |
Frequently Asked Questions
NPI 1144635129 is the National Provider Identifier for ILLA STICE, a Occupational Therapy Assistant provider located in Boise, ID. This NPI was enumerated on June 27, 2014.
ILLA STICE practices at 3812 N TAMARACK DR, Boise, ID 83703.
Quick Facts
- NPI
- 1144635129
- Type
- Individual
- Enumerated
- Jun 27, 2014
- Last Updated
- Jun 27, 2014
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ST LUKES REGIONAL MEDICAL CENTER
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DR. MICHAEL MCMARTIN, M.D.
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