Individual
EMILY MALINOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
960 S BROADWAY AVE STE 505, BOISE, ID 83706-3630
(208) 780-6269
(208) 780-6291
Mailing address
960 S BROADWAY AVE STE 505, BOISE, ID 83706-3630
(208) 780-6269
(208) 780-6291
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
81037
ID
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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