SearchIdaho224Z00000X

Amanda Garcia, COTA/L

NPI 1235473786 · on the registry since 2012 · sole proprietor

Practice

Address
310 S Stapleton St
Boise, ID 83705
Phone
(208) 284-1590

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho