Individual
JESSICA BRIANNE CAPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
449 S FITNESS PL, EAGLE, ID 83616-6828
(208) 957-6301
Mailing address
2509 S ORMOND ST, BOISE, ID 83705-4443
(208) 869-6226
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-1808
ID
Other
Enumeration date
01/10/2018
Last updated
03/30/2023
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