MELANIE MOATS

BOISE, ID
NPI1700599115
Former NameMELANIE CARSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-1202)
Enumeration Date2022-12-30
Last Update Date2022-12-30
Business Address
MELANIE MOATS COTA
270 S ORCHARD ST STE B
BOISE, ID 83705-1234
Phone number: 205-908-6116
Mailing Address
MELANIE MOATS COTA
5556 N CRIMSON WAY
BOISE, ID 83703-2839
Phone number:
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