Individual
HANNAH MARIE LYNN MECHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1460 ELK CREEK DR, IDAHO FALLS, ID 83404-8237
(208) 535-1286
Mailing address
2894 MURWOOD, IDAHO FALLS, ID 83402-1232
(402) 276-5203
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-2327
ID
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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