Individual
ANTONIA MARIE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1835 WILDWOOD ST, BOISE, ID 83713-5146
(877) 200-8152
Mailing address
3949 S NORTHBRIDGE WAY, BOISE, ID 83706-5939
(208) 724-8202
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2158
ID
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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