Individual
ASHLEY KOPHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1857 S MILLENIUM WAY STE 120, MERIDIAN, ID 83642-1510
(208) 600-0722
Mailing address
3398 W HIDDEN SPRINGS DR, BOISE, ID 83714-1943
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2892
ID
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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