Individual
MS. MAUREEN ANN PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13121 N LOOKOUT CIR, BOISE, ID 83714-9441
(208) 514-7504
Mailing address
13121 N LOOKOUT CIR, BOISE, ID 83714-9441
(208) 514-7504
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-709
ID
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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