Individual
ANGIE VOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3182 S ROOKERY LN, BOISE, ID 83706-5471
(208) 424-8502
Mailing address
3182 S ROOKERY LN, BOISE, ID 83706-5471
(208) 424-8502
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-430
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808039400
—
ID
01
—
W1224
BLUE CROSS OF IDAHO
ID
Enumeration date
11/27/2006
Last updated
02/18/2009
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