Individual
KRISTEN MAGALOGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 RIVER VISTA PL, TWIN FALLS, ID 83301-3006
(208) 734-7333
(208) 734-8350
Mailing address
254 RIVER VISTA PL, TWIN FALLS, ID 83301-3006
(208) 734-7333
(208) 734-8350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1337
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-1337
STATE
ID
Enumeration date
07/21/2014
Last updated
07/21/2014
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