Individual
MS. KELLY MARIE KLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3086 W MILANO DR, MERIDIAN, ID 83646-7288
(208) 996-0552
Mailing address
265 E MURTAUGH LAKE DR, MIDDLETON, ID 83644-5080
(530) 828-8232
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2443
ID
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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