Individual
MRS. WENDY L MEGUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1351 W PINE AVE, MERIDIAN, ID 83642-5031
(208) 895-6431
(208) 887-1204
Mailing address
12312 W ENGELMANN DR, BOISE, ID 83713-1416
(208) 705-7438
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00003557
WA
225XG0600X
Gerontology Occupational Therapist
Primary
OT-1058
ID
Other
Enumeration date
06/29/2007
Last updated
02/20/2017
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