Individual
MEGAN S KOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
101 S ALLUMBAUGH WAY, BOISE, ID 83709-5658
(208) 323-8888
Mailing address
6944 W GRUNDER ST, BOISE, ID 83709-2921
(208) 221-9230
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2212
ID
Other
Enumeration date
08/11/2020
Last updated
01/29/2021
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