Individual
MRS. MELISSA R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS OT
Contact information
Practice address
1383 CRIMSON DRIVE, IDAHO FALLS, ID 83401
(208) 541-8734
Mailing address
1383 CRIMSON DRIVE, IDAHO FALLS, ID 83401
(208) 541-8734
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-701
ID
Other
Enumeration date
10/02/2006
Last updated
10/12/2021
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