Individual
MEGAN BARELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3111 CHANNING WAY, IDAHO FALLS, ID 83404-7534
(208) 529-0067
Mailing address
255 WILLARD AVE, POCATELLO, ID 83201-4627
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1992
ID
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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