Individual
MS. AMANDA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
310 S STAPLETON ST, BOISE, ID 83705-1469
(208) 284-1590
Mailing address
310 S STAPLETON ST, BOISE, ID 83705-1469
(208) 284-1590
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1019
ID
Other
Enumeration date
11/22/2012
Last updated
11/22/2012
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