Individual
ANGELA COLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
600 N ROBBINS RD, BOISE, ID 83702-4565
(208) 690-9937
Mailing address
4614 N WILLOWSIDE AVE, MERIDIAN, ID 83646-5254
(208) 690-9937
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
82918
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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