Individual
JULIE DENITA MONAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3169 S BOWN WAY, BOISE, ID 83706-5400
(208) 433-9152
Mailing address
4581 E FAITH LN, MERIDIAN, ID 83642-7261
(208) 954-9403
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2850
ID
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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