Claire E Mallicoat
Claire E Mallicoat is an Occupational Therapist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2023.
- Licensed in
- ID
- In the registry since
- 2023
Practice location Address checks out
190 E Bannock StBoise, ID 83712-6241
Phone: (865) 223-2172
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 2743 (ID) |
|---|
Record details
| NPI number | 1770275984 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 24, 2023 |
| Last updated in NPPES | May 24, 2023 |
| Certification date | May 24, 2023 |
| Mailing address | 7642 Boruff Rd, Corryton, TN 37721-3302 |
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