MARY JANE MELLO

MERIDIAN, ID
NPI1366928905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT1875)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: CA  OT1945)
Enumeration Date2018-07-17
Last Update Date2018-07-17
Business Address
MARY JANE MELLO MS,OTR/L
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-706-5000
Mailing Address
MARY JANE MELLO MS,OTR/L
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: