Individual
CRYSTAL HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
245 N 3RD E, MOUNTAIN HOME, ID 83647-2734
(208) 323-8888
Mailing address
101 S ALLUMBAUGH WAY, BOISE, ID 83709-5658
(208) 323-8888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4861063
ID
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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