Individual
AMANDA ECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
2175 N 45TH E, IDAHO FALLS, ID 83401-1907
(208) 709-7114
Mailing address
2175 N 45TH E, IDAHO FALLS, ID 83401-1907
(208) 709-7114
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-751
ID
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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