TINA RENEE WAYLAND FULLER, COTA/L
Occupational Therapy at 6, Tipanuk, ID

License number
Idaho OTA-1095
Category
Restorative Service Providers
Type
Occupational Therapy Assistant
Address
Address 2
895 N 6Th E, Tipanuk, ID 83647
6397 S Mistyglen Ave, Boise, ID 83709
Phone
(208) 580-9806
(208) 914-3167
National Provider ID: 1922420736
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Tina R Wayland
10078 W Shelborne Dr, Boise, ID 83709
(208) 362-2437
Tina R Wayland
1945 S Peppercorn Pl, Boise, ID 83709
(208) 362-2437
Tina R Wayland
5103 Missoula Way #S, Boise, ID 83709
Tina R Wayland
8357 W Galileo Ct, Boise, ID 83709
Tina R Wayland
9562 W Littlewood Dr, Boise, ID 83709
(208) 362-4346

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