Individual
MORGEN TAYLER STOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
7 N 600 W, BLACKFOOT, ID 83221-5533
(208) 782-2267
Mailing address
829 W 100 S, BLACKFOOT, ID 83221-6156
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2416
ID
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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