Individual
KAYLA VANDER STELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3368 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 899-7992
Mailing address
3540 S FORK AVE, NAMPA, ID 83686-4829
(208) 697-7891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2515
ID
Other
Enumeration date
03/14/2022
Last updated
04/20/2022
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