Individual
DENISE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
207 W GEORGIA AVE, NAMPA, ID 83686-3024
(208) 489-5700
Mailing address
6570 N AGRARIAN LN APT 101, MERIDIAN, ID 83646-1571
(208) 570-0602
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT-1241
ID
225XP0200X
Pediatric Occupational Therapist
OT-1241
ID
Other
Enumeration date
06/19/2014
Last updated
01/28/2025
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