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Organization
LIFE THRIVE WELLNESS LLC
Active
Organization
LIFE THRIVE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE MOORES MOTR/L (OWNER)
(208) 741-0395
Entity
Organization
Contact information
Practice address
270 S ORCHARD ST STE B, BOISE, ID 83705-1234
(208) 741-0395
(208) 473-7340
Mailing address
1729 E BOISE AVE, BOISE, ID 83706-5403
(208) 741-0395
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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