Individual
MRS. MELINDA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10844 W OSWEGO DR, BOISE, ID 83709-4557
(208) 921-8264
(208) 362-6437
Mailing address
10844 W OSWEGO DR, BOISE, ID 83709-4557
(208) 921-8264
(208) 362-6437
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-063
ID
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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