Individual
MRS. MAKEESA MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
113 MAIN ST, UNIT 182, KIMBERLY, ID 83341
(208) 904-3500
Mailing address
113 MAIN ST, UNIT 182, KIMBERLY, ID 83341
(208) 904-3500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2302
ID
Other
Enumeration date
01/07/2025
Last updated
01/29/2025
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