Individual
KARA MARIA KATZENMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
457 S FITNESS PL, SUITE 100, EAGLE, ID 83616-6568
(208) 939-3332
(208) 939-3338
Mailing address
457 S FITNESS PL, SUITE 100, EAGLE, ID 83616-6568
(208) 939-3332
(208) 939-3338
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1050115
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010150659
BLUE SHIELD
—
01
—
W1069
BLUE CROSS
—
Enumeration date
10/06/2006
Last updated
07/08/2007
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