Individual
MELANIE MOATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
270 S ORCHARD ST STE B, BOISE, ID 83705-1234
(205) 908-6116
(208) 908-0486
Mailing address
5556 N CRIMSON WAY, BOISE, ID 83703-2839
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1202
ID
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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