Individual
SARA WOLDEZGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5000
Mailing address
3800 W PERUGIA ST APT R306, MERIDIAN, ID 83642-4819
(408) 661-4281
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2343
ID
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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