NPI 1376973826

Susan Devine, OTL

Practitioner Orthoptist Boise, ID

Practice location

Address: 7960 W Rifleman St #155, Boise, ID 83704-9064
Phone: (208) 377-8899
Fax: (208) 321-1952

Registered specialties

Orthoptist Primary

Eye and Vision Services Providers Taxonomy 156FX1900X Licence OT-259 (ID)

Other Technician/Technologist providers in Idaho →

Registry record

NPI: 1376973826
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Nov 2013
Record last updated: 20 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.