1033396049

Everything you always wanted to know about COBBLEY KAE JAMIE OTR/L but were afraid to ask.

COBBLEY KAE JAMIE OTR/L

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
COBBLEY KAE JAMIE OTR/L
Gender:
Female
Enumeration date:
2008-01-22
Last update date:
2008-01-22
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
174400000X Specialist ID OT-740 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2082333353
Practice Location Address Telephone Number 2082333353

Addresses

Type Address City State Postal Country
Mailing Address 1151 HOSPITAL WAY POCATELLO ID 83201 ID
Practice Location Address 1151 HOSPITAL WAY POCATELLO ID 83201 ID

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NPI Name Address State City
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1306285598 MOEAI, MICAH
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1437151446 MURDOCH, MATTHEW
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1477690899 PHELPS, PAULA
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1497807044 SUMMERILL, SHAUN
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1151 HOSPITAL WAY ID POCATELLO
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1558363341 DENTON, DAVID
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1649474719 GODFREY, JONATHAN
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1659316628 FABER, THOMAS
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1730367517 FULKS, BRIAN
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1912223959 PARSONS, CINDY
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1942202957 HARDIN, CREIGHTON
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1962516583 YOST, GENTRY
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1992950802 DUTY, LAURA
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