Individual provider · Type 1 NPI

Lori Ann Graber, M.O.T O.T.R.

Specialist · Boise, ID

NPI number 1104032101 Active

Practice location

1130 Allumbaugh St
Boise, ID 83704-8700

Fax (208) 854-8689

Mailing address

PO Box 6495
Boise, ID 83707-6495

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X795 (ID)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104032101

Lori Ann Graber, M.O.T O.T.R.'s National Provider Identifier is 1104032101, issued on May 15, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.