MEGAN GRACE ELLIS

NAMPA, ID
NPI1871027987
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-1735)
Enumeration Date2017-04-14
Last Update Date2017-04-14
Business Address
-- MEGAN GRACE ELLIS OTR/L
16171 N BRINSON ST
NAMPA, ID 83687-5509
Phone number: 208-442-2525
Mailing Address
-- MEGAN GRACE ELLIS OTR/L
16171 N BRINSON ST
NAMPA, ID 83687-5509
Phone number: 208-442-2525
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