Individual
SHARON MICHELLE MOOSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3840 E 120 N, RIGBY, ID 83442-4930
(208) 360-5550
Mailing address
3840 E 120 N, RIGBY, ID 83442-4930
(208) 360-5550
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9071254
ID
Other
Enumeration date
12/27/2025
Last updated
12/27/2025
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