Individual
EMILY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
101 11TH AVE S # 155, NAMPA, ID 83651-3918
(208) 466-1077
Mailing address
2790 S MONITOR AVE, BOISE, ID 83709-3432
(949) 293-1478
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
05/11/2022
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