Individual
CAROLINE OLIVIA MENSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1460 ELK CREEK DR, IDAHO FALLS, ID 83404-8237
(208) 535-1286
Mailing address
451 W 5TH ST, RUSSELLVILLE, KY 42276-1407
(270) 772-4886
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
16217
NC
225X00000X
Occupational Therapist
264194
KY
225X00000X
Occupational Therapist
Primary
OT-2817
ID
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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