Individual
DR. MARIA STEPHANIE MONTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
2550 ADDISON AVE E STE D, TWIN FALLS, ID 83301-6748
(208) 814-7950
Mailing address
152 W 500 N, JEROME, ID 83338-5029
(575) 652-1889
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTL-2510
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTL2510
IDAHO DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSES
ID
Enumeration date
01/03/2022
Last updated
01/03/2022
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