McKenzie J Moon
McKenzie J Moon is an Occupational Therapy Assistant in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2023
Practice location Address checks out
1460 Elk Creek DrIdaho Falls, ID 83404-8237
Phone: (208) 535-1286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence OTA2800 (ID) |
|---|
Record details
| NPI number | 1821875287 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 11, 2023 |
| Last updated in NPPES | September 11, 2023 |
| Certification date | September 11, 2023 |
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