Most Relevant Information
Provider Data
| NPI Number: | 1003364530 |
| Provider Name: | MURRY ODONNELL |
| Entity Type: | Individual |
| Taxonomy Code: | 225XF0002X |
| Specialty: | Occupational Therapist |
| License Number: | 081 |
Most Important Dates
| Enumeration Date: | 09/13/2016 |
| Last Updated: | 09/13/2016 |
Provider Practice Location
190 E BANNOCK ST
BOISE
ID
837126241
Practice Location Phone/Fax
| Phone: | 2083817275 |
| Fax: |
Provider Mailing Location
190 E BANNOCK ST
BOISE
ID
837126241
Provider Mailing Phone/Fax
| Phone: | 2083817275 |
| Fax: |