Individual
MELISSA SPERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8211 W USTICK RD, BOISE, ID 83704-5756
(120) 837-5370
Mailing address
8211 W USTICK RD, BOISE, ID 83704-5756
(120) 837-5370
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA - 051
ID
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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