Individual
ARIEL PODJUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2470 N STOKESBERRY PL, MERIDIAN, ID 83646-5035
(208) 884-8323
Mailing address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2058
ID
Other
Enumeration date
10/03/2023
Last updated
11/24/2024
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