Individual
MORIAH EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 TROY RD, MOSCOW, ID 83843-3995
(877) 456-1233
Mailing address
1350 TROY RD, MOSCOW, ID 83843-3995
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
ID
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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