NPI 1154402220

Glenda Kay Moe

Practitioner Occupational Therapy Assistant Idaho Falls, ID

Practice location

Address: 510 E 17th S. 400, Idaho Falls, ID 83404
Phone: (208) 589-0807
Fax: (208) 542-9577
Mailing address: 185 W Woodhaven Ln, Idaho Falls, ID 83404-8429

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA204 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1154402220
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.